A nurse is caring for an older adult client who has a history of falls. Which of the following situations would lead to a role change?

Choice A reason: Moving in with an adult child and their family signifies a shift in dependency and caregiving roles. The client may transition from independent living to requiring assistance, which alters family dynamics and responsibilities. Choice B reason: An adult child moving away may affect support availability but does not directly change the client’s role unless it leads to relocation or increased dependency. Choice C reason: The "sandwich" generation refers to middle-aged adults caring for both children and aging parents. It does not describe the older adult client’s role. Choice D reason: Continuing to work reflects role maintenance, not change. It indicates preserved independence and engagement in familiar responsibilities.