The nurse recognizes that a healthy self-concept is influenced by several factors, according to Rogers' theory. Which factor is least likely to contribute to a healthy self-concept?

Choice A reason: This is the best answer. Role performance is the way that the client fulfills their expected roles in society, such as worker, parent, spouse, student, etc. It is influenced by the client's role expectations, role conflicts, role strain, and role changes. A client who has lost their job may experience a role change that affects their role performance. They may feel a loss of identity, purpose, or status. They may also face financial, emotional, or social challenges that impact their role performance.

Choice B reason: This is not the correct concept. Body image is the way that the client perceives and feels about their physical appearance, structure, or function. It is influenced by the client's age, gender, culture, health, and media. A client who has lost their job may not have a significant change in their body image, unless their job loss is related to a physical condition or injury.

Choice C reason: This is not the correct concept. Self-image is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. It is influenced by the client's self-esteem, self-efficacy, and self-awareness. A client who has lost their job may have a change in their self-image, but it is not the main concept that they are struggling with. Their self-image may be affected by their role performance, but not vice versa.

Choice D reason: This is not the correct concept. Self-awareness is the ability of the client to recognize and understand their own feelings, thoughts, and behaviors. It is influenced by the client's self-reflection, self-evaluation, and feedback from others. A client who has lost their job may have a change in their self-awareness, but it is not the primary concept that they are struggling with. Their self-awareness may help them cope with their role performance, but not determine it.

Choice A reason: This is not the least likely factor. The ideal self is the person that the client wants to be or thinks they should be. It reflects the client's goals, aspirations, and values. A healthy self-concept is achieved when the ideal self is congruent with the real self, which is the person that the client actually is.

Choice B reason: This is not the least likely factor. A client's self-esteem is the degree to which the client values and respects themselves. It affects the client's confidence, satisfaction, and happiness. A healthy self-concept is associated with a high self-esteem, which means that the client accepts and appreciates themselves.

Choice C reason: This is not the least likely factor. The self-image of the client is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. A healthy self-concept is related to a positive self-image, which means that the client has a realistic and favorable view of themselves.

Choice D reason: This is the best answer. Feelings of gender dysphoria are the distress and discomfort that some people experience when their gender identity does not match their assigned sex at birth. It is not a factor that influences the self-concept, according to Rogers' theory. However, it may affect the client's self-esteem, self-image, and ideal self, and require professional support and intervention.