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A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress?

a) I'm afraid of the pain that might come.
b) I am grateful for the love of my family.
c) I don't believe in any higher power.
d) I've arranged everything for my family after I'm gone.

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Final answer:

The statement 'I don't believe in any higher power' could suggest the client is experiencing spiritual distress amid a terminal liver cancer diagnosis. Understanding the five stages of grief and the purpose of hospice care is crucial for nurses working with such patients. Hospice care emphasizes comfort and dignity at the end of life.

Step-by-step explanation:

The specific statement that should alert the nurse to the client's potential spiritual distress in the context of terminal liver cancer would likely be the expression of significant concerns about one's belief system or relationship with a higher power. This might manifest as questioning the meaning of life, the fairness of one's situation, or expressing doubt or changes in previous spiritual or religious beliefs. The statement, "I don't believe in any higher power," can indicate the client is experiencing spiritual distress, as it might suggest a crisis of faith or a struggle to find meaning in the face of their terminal diagnosis.

It is important to understand the five stages of grief as outlined by Elisabeth Küblber-Ross, which are denial, anger, bargaining, depression, and acceptance. These stages help explain the emotional processes someone with a terminal illness might experience. Having an understanding of these stages, as well as the benefits of hospice care, is crucial for healthcare professionals who work with terminally ill patients. Hospice care aims to provide comfort and dignity, focusing on the quality of life rather than curative treatment as a client approaches the end of life.

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