A nurse is collecting data on a client who reports feeling stress and anxiety. The client appears restless and is pacing. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Choice A reason : Identity refers to how individuals perceive themselves, including their beliefs, qualities, and expressions. It is the understanding of oneself as a distinct individual. In the context of the client's situation, while stress can impact one's sense of identity, the primary issue described does not directly relate to the client's identity but rather to their ability to fulfill expected roles.

Choice B reason : Role performance stressors arise when individuals feel they cannot meet the expectations associated with their social or work roles. In this case, the client is stressed due to the difficulty in balancing work responsibilities with the demands of caring for an ill family member. This indicates a conflict in role performance, as the client struggles to adequately fulfill the roles of both employee and caregiver.

Choice C reason : Body image pertains to one's perception of the physical self and the feelings associated with this perception. It includes how individuals view their own body and how they believe others perceive it. The client's stress does not stem from concerns about body image but from the pressures of their responsibilities.

Choice D reason : Self-esteem is the value one places on oneself, encompassing feelings of worthiness or unworthiness. It is influenced by various factors, including personal achievements and recognition from others. Although self-esteem can be affected by stress, the scenario provided specifically highlights the client's stress related to role fulfillment, not their self-worth.

Choice A reason : Prolonged grief, also known as complicated grief, is characterized by an intense longing and preoccupation with thoughts or memories of a loved one, which persists long after the loss has occurred. It can significantly impair important areas of functioning and is defined by the DSM-5-TR as grief that stays with you long-term. The client's inability to accept the loss after three years suggests that they may be experiencing prolonged grief, which may require the guidance of a mental health professional for resolution.

Choice B reason : Uncomplicated grief, also known as normal grief, involves a range of feelings, including sadness, anger, and longing, that gradually start to improve over time. The person experiencing uncomplicated grief will begin to accept the loss and resume normal activities. Since the client is still unable to accept the loss after three years, this would not be classified as uncomplicated grief.

Choice C reason : Disenfranchised grief occurs when an individual's grief is not acknowledged or validated by society, often because the relationship to the deceased is not recognized, such as in the case of a pet or a distant relative. This type of grief is not typically associated with the duration of the grief but rather with the social context in which the grieving occurs.

Choice D reason : Anticipatory grief occurs before the actual loss, often in situations where a loved one is terminally ill. It involves grieving the impending loss and can include some of the same emotions as post-loss grief. Since the client's partner has already died, this would not be considered anticipatory grief.