A client who is receiving palliative care for advanced lung cancer tells the nurse that they have lost their faith in God and feel abandoned and alone. Which response by the nurse is most appropriate?

The nurse should acknowledge the client's feelings and use open-ended questions to explore their faith and how it has changed. This can help the client to express their doubts, fears, or anger, and to find meaning and hope in their situation.

Incorrect options:

B) "Don't say that. God loves you and has a plan for you. You just need to trust Him." - This is a response that may reflect the nurse's own beliefs, but it does not respect the client's feelings or perspective. It may also make the client feel guilty, judged, or misunderstood.

C) "Maybe you should try to pray more or read some inspirational books. They might help you feel better." - This is a response that may suggest some possible sources of comfort or guidance, but it does not address the client's feelings or concerns. It may also imply that the client is not doing enough to maintain their faith or that their faith is the cause of their distress.

D) "I can see that this is very hard for you. Would you like me to contact a chaplain or a spiritual leader for you?" - This is a response that may offer some professional support, but it does not explore the client's faith or how it has changed. It may also be premature or unwanted by the client without assessing their readiness or preference for spiritual assistance.

The nurse should use open-ended questions to explore the client's feelings and beliefs about their condition and the meaning of life. This can help the client to express their emotions, identify their sources of strength and hope, and cope with their situation.

Incorrect options:

A) "You have every right to feel angry. This is not fair." - This is an empathic statement, but it does not encourage further communication or exploration of the client's feelings. It may also reinforce the client's negative emotions and sense of hopelessness.

B) "I understand how you feel. I have lost many loved ones to cancer." - This is an attempt to show empathy, but it is not appropriate to share personal experiences or compare the client's situation to others. This may make the client feel invalidated or minimized.

C) "Maybe you should talk to a spiritual counselor. They can help you find some peace." - This is a suggestion that may be helpful for some clients, but it should not be imposed on the client without assessing their willingness or preference for spiritual support. It may also imply that the nurse is avoiding the client's feelings or imposing their own beliefs.