A nurse is caring for a client who was recently diagnosed with pancreatic cancer. Which statement made by the client would indicate to the nurse that the client is in spiritual distress?
A) "I am not sure why this is happening but I believe God has a plan for me."
B) "I wish I did not have cancer but I believe that it is happening for a reason."
C) "I wonder if my children will visit today. They won't even go to church with me anymore and they are having a difficult time dealing with my diagnosis."
D) "People tell me things happen for a reason, but why is God doing this to me?"
Answer: D
The statement "but why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
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