A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?

A. A middle adult experiences physical changes: While physical changes are a normal part of aging, they do not necessarily indicate a change in the family system. Stressors affecting the family dynamic are more evident in relational shifts or roles. B. A young adult develops a close, personal relationship: This is a developmental milestone for a young adult and does not suggest a change in the family system. Relationships are important, but this behavior is not typically a sign of stressors impacting the family structure. C. A young adult focuses on their career: Career development is a normal developmental task for a young adult and may not indicate a change in the family system. It is a personal growth milestone rather than a response to family stress. D. A middle adult assumes their parent's responsibilities: This behavior, known as the "sandwich generation" phenomenon, occurs when a middle adult takes on caregiving roles for aging parents while possibly still caring for their own children. This shift in roles is a significant indicator of stressors affecting the family system.