A psychiatric–mental health nurse is working with a client who is being treated for depression. Which statement by the client would indicate that her spirituality is intact?
A) "My church friends came to visit me this past Sunday afternoon."
B) "Nothing will ever be the same again; my life is not worth living."
C) "I know I am as well off as I can be under the circumstances."
D) "I know God must be punishing me for all my sins."
Ans: C
Perception of well-being and health in persons with severe mental illness has been positively associated with spirituality; answer C implies that the client has a sense of well-being despite her depression. The statement about church friends visiting reflects the client's religiousness or participation in a community of people who gather around common ways of worshiping. The statements about life not being worth living and that God is punishing her for her sins reflect hopelessness.
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