A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist?

"I hope I can adjust to using crutches while I am recovering."

"I am worried about taking care of my toddler at home."

"I just don't think I can handle looking at my leg."

"I am not sure how I will pay for all the therapy I will need."