The Nurse Works in a Community Clinic and Assists a Variety

The nurse works in a community clinic and assists a variety of clients. According to McEwen's stress response theory, which client does the nurse identify as being at greatest risk for allostatic load?

A) An older adult client whose spouse has severe dementia and has been cared for in the home for several years. Recently the client has been diagnosed and treated for hypertension and cardiac rhythm disturbances.
B) A client who is a college student taking a full-time load of engineering classes. The client reports bouts of gastrointestinal (GI) upset prior to scheduled course examinations. The client also shares recently moving into a quieter dorm setting.
C) A young adult client who recently accepted a position with a new company. The client expresses concern about sleep disturbances. A new exercise regimen was started 2 weeks ago, but the client is seeking a short-term sleep aid.
D) An older female client who is recently widowed. The client shares a lack of energy and frequent periods of crying. She states, "I know that I will get over the grief with the passage of time. I remember feeling the same way when my parents died."