A nurse is teaching a class about expected physiological changes in older adult clients.
Which of the following changes should the nurse include?

Choice A rationale:

"Role performance overload" is not a direct adverse effect of a negative body image. Role performance overload refers to excessive demands and responsibilities in one's life, which can lead to stress and burnout. While a negative body image can contribute to stress, it does not directly cause role performance overload.

Choice B rationale:

"Development of an eating disorder" is a well-documented adverse effect of a negative body image. Individuals with a negative body image may develop eating disorders like anorexia nervosa or bulimia as they strive for an idealized body image. This choice is directly related to the topic of negative body image.

Choice C rationale:

"Mistrust" is not a typical adverse effect of a negative body image. Mistrust is more related to issues of trust and interpersonal relationships, while a negative body image primarily affects one's self-perception.

Choice D rationale:

"Self-absorption" can be a consequence of a negative body image, as individuals may become preoccupied with their appearance and self-worth based on their body. However, the most direct and severe consequence is the development of eating disorders, as mentioned in choice B. .

Choice A rationale:

Piaget's formal operational stage is characterized by abstract thinking, hypothesis testing, and logical reasoning, but it does not include the development of object permanence. This stage typically occurs during adolescence, not in early childhood when object permanence is established.

Choice B rationale:

The preoperational stage is characterized by the development of symbolic thought and egocentrism but not object permanence. Object permanence starts to develop during the sensorimotor stage.

Choice C rationale:

Concrete operational thinking is focused on logical and systematic thinking related to concrete objects and events. It does not include the development of object permanence, which occurs in the earlier sensorimotor stage.

Choice D rationale:

Object permanence is a concept that develops during Piaget's sensorimotor stage, which typically occurs from birth to about two years of age. During this stage, children learn that objects continue to exist even when they are out of sight. They develop the ability to represent objects mentally and understand the concept of permanence.