Which statement by a caregiver could be an indication of caregiver role strain?

The statement that indicates caregiver role strain is the one expressing a reluctance to accept assistance. When a caregiver states they "don’t allow anyone to help with my spouse's care," it suggests a high level of stress or pressure that many caregivers feel. This resistance to seeking help can stem from a belief that they should handle all responsibilities themselves, which often leads to feelings of isolation, overwhelm, and ultimately, burnout. Caregiver role strain is characterized by emotional exhaustion, increased stress, and home life challenges, all of which can arise from the need to manage care without external support.

In contrast, the other statements do not necessarily indicate strain. Comments about losing appetite and weight might suggest stress, but they can also relate to other personal issues. The notion of leaving a spouse alone to visit friends signals an attempt at self-care, which can be a healthy coping mechanism, and having friends help with errands indicates a willingness to accept support and share responsibilities. Therefore, the context within which the caregiver refuses help points clearly to potential strain and concerns about their capacity to fulfill their caregiving role effectively.