While hospitalized, a client learns that a dear friend has died as a result of an accident. The client is crying and asking God, "Why?" The nurse realizes the client is demonstrating which factor of spiritual distress?
1. Physiological
2. Treatment-related
3. Psychological
4. Situational
4. Situational
Rationale:
Factors that may be associated with or contribute to a person's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.
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