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 correct answer. Toddlers are the age group from 1 to 3 years old. They are curious and active, but they are not deliberately engaging in risk-taking behaviors. They may explore their environment and test their limits, but they are not aware of the potential dangers or consequences. They rely on their caregivers to provide them with safety and guidance.

Choice B reason: This is not the correct answer. Preschoolers are the age group from 3 to 5 years old. They are imaginative and playful, but they are not intentionally engaging in risk-taking behaviors. They may pretend to be superheroes or princesses, but they are not trying to harm themselves or others. They follow the rules and expectations of their caregivers and teachers.

Choice C reason: This is not the correct answer. School-age children are the age group from 6 to 12 years old. They are learning and socializing, but they are not purposely engaging in risk-taking behaviors. They may join clubs or teams, but they are not involved in illegal or immoral activities. They respect the authority and norms of their caregivers and society.

Choice D reason: This is the best answer. Adolescents are the age group from 12 to 18 years old. They are developing and experimenting, and they are more likely to engage in risk-taking behaviors. They may smoke, drink, use drugs, have sex, or break the law, as they seek thrill, novelty, or peer acceptance. They challenge the rules and values of their caregivers and society.

Choice A reason: This is not the most significant factor. The client's popularity may change over time or depend on external factors. The client may also face peer pressure or bullying from their friends.

Choice B reason: This is not the most significant factor. The client's academic performance may vary depending on the difficulty of the subjects, the quality of the teachers, or the availability of resources. The client may also experience stress or anxiety from the expectations of their parents or teachers.

Choice C reason: This is the best answer. The client's self-esteem is the most important factor that will help them cope with negative stressors. Self-esteem is the degree to which the client values and respects themselves. A positive self-esteem will enable the client to have confidence, resilience, and optimism in facing challenges and opportunities.

Choice D reason: This is not the most significant factor. The client's family support may be beneficial, but it may not be enough to protect them from negative stressors. The client may also have conflicts or disagreements with their siblings.