A nurse is caring for a client with a new colostomy. Which of the following statements indicates an issue with self-concept?

Choice A reason: This is not the most concerning factor. Poor nutritional habits may affect the client's physical health, but they are not directly related to the client's psychosocial well-being. The nurse can educate the client on the benefits of a balanced diet and provide nutritional counseling if needed.

Choice B reason: This is not the most concerning factor. A lack of exercise may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can encourage the client to engage in physical activity that suits their preferences and abilities, and provide exercise guidance if needed.

Choice C reason: This is the best answer. A low self-esteem may affect the client's mental and emotional health, and it is directly related to the client's psychosocial well-being. The nurse should assess the client's self-esteem and identify the factors that contribute to it, such as their self-image, self-talk, and self-efficacy. The nurse should also provide positive feedback, support, and empowerment to the client, and refer them to counseling or therapy if needed.

Choice D reason: This is not the most concerning factor. The need for long-term antibiotics may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can educate the client on the indications, side effects, and precautions of the antibiotics, and monitor the client's response and compliance to the medication.

Choice A reason: This is not the correct answer. Older adults are the age group from 65 years and older. They are more likely to experience alterations in health due to aging, chronic diseases, cognitive decline, or social isolation. However, they are less likely to have substance use disorders, periodontal disease, or infertility, which are more common in younger age groups.

Choice B reason: This is the best answer. Young adults are the age group from 18 to 39 years old. They are more likely to engage in risk-taking behaviors, such as smoking, drinking, or using drugs, which can lead to substance use disorders. Substance use disorders can affect the physical, mental, and social health of young adults, and increase the risk of accidents, injuries, infections, or overdoses. Young adults are also more likely to have poor oral hygiene, which can cause periodontal disease. Periodontal disease is an inflammation and infection of the gums and teeth, which can lead to tooth loss, pain, or bad breath. Young adults are also more likely to have infertility, which is the inability to conceive or carry a pregnancy to term. Infertility can be caused by various factors, such as hormonal imbalances, genetic disorders, infections, or environmental exposures. Infertility can affect the emotional, psychological, and relational health of young adults, and cause stress, depression, or low self-esteem.

Choice C reason: This is not the correct answer. Adolescents are the age group from 12 to 18 years old. They are more likely to experience alterations in health due to puberty, growth spurts, or hormonal changes. They may also face challenges such as peer pressure, bullying, or academic stress. However, they are less likely to have substance use disorders, periodontal disease, or infertility, which are more prevalent in older age groups.

Choice D reason: This is not the correct answer. Middle adults are the age group from 40 to 64 years old. They are more likely to experience alterations in health due to menopause, andropause, or age-related changes. They may also face issues such as work-life balance, career transitions, or family responsibilities. However, they are less likely to have substance use disorders, periodontal disease, or infertility, which are more common in younger age groups.