The client is on the orthopedic unit following back surgery. He states

The client is on the orthopedic unit following back surgery. He states, “I feel like I can’t do any-thing anymore—and I won’t be able to continue my landscaping business.”

This is predominantly an example of a problem in which of the following components of self-concept?
1. Body image
2. Self-esteem
3. Identity
4. Role

ANSWER

ANS: 4
A physical health deficit that prevents role assumption can create a problem in the role perfor-mance component of self-concept. A client who is verbalizing concern about continuing a previ-ous occupation is not demonstrating a problem in body image, but rather in the role performance component of self-concept. Self-esteem is closely related to self-concept, but is not a component of self-concept. Identity involves the internal sense of individuality, wholeness, and consistency of a person over time and in various circumstances. The client is verbalizing concern about role performance, not necessarily identity.