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?

Rationale A. A middle adult experiences physical changes: Physical changes such as menopause or decreased strength are normal developmental events and do not necessarily indicate a change in the family system. These are expected life transitions rather than stressor-induced changes in family roles. B. A young adult develops a close, personal relationship: Forming intimate relationships is part of normal young adult development and does not, by itself, indicate a disruption or change in family dynamics. It is a typical milestone rather than a stressor affecting the family system. C. A middle adult assumes their parent's responsibilities: Taking on parental responsibilities, such as caring for aging parents, reflects a significant role shift within the family system. This role reversal can create stress, alter family dynamics, and indicate a response to external or internal stressors affecting the family structure. D. A young adult focuses on their career: Career development is a normal developmental task for young adults and does not inherently signal a change in family roles or system dynamics. It reflects personal growth and independence rather than stress-related change in family functioning.