A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?

Rationale A. "My hearing has improved since I got my hearing aids.": This statement reflects a positive adaptation to age-related sensory changes and does not indicate a disturbed body image. The client demonstrates acceptance and use of assistive devices to maintain function. B. "I avoid going out because I sometimes have problems with incontinence.": Avoiding social situations due to incontinence suggests the client is experiencing distress or embarrassment about physical changes, reflecting an impaired body image. This avoidance can affect self-esteem, social engagement, and overall quality of life. C. "These lines in my face reveal a part of my character.": This statement shows the client has a positive perception of aging and views physical changes as meaningful rather than negative, indicating a healthy body image. D. "My wrinkled hands show how hard I've worked all my life.": The client interprets physical aging positively, associating wrinkles with experience and effort, which demonstrates acceptance of bodily changes and a preserved body image.