Which of the following is an example of an open-ended question?

Choice A reason: Social isolation is a maladaptive coping strategy that can worsen grief, depression, and anxiety. It limits access to emotional support, reduces opportunities for processing loss, and may lead to further psychological decline. Isolation prevents healing and increases the risk of complicated grief.

Choice B reason: Meditation is a healthy coping mechanism that promotes relaxation, emotional regulation, and mindfulness. It helps individuals process grief and reduce stress.

Choice C reason: Daily prayer can provide spiritual comfort, hope, and a sense of connection. It is often used as a positive coping strategy, especially in culturally or religiously grounded individuals.

Choice D reason: Exercise supports physical and mental health. It reduces stress, improves mood, and enhances resilience. It is considered an adaptive coping behavior during grief.

Choice A reason: Reviewing life and discussing death are signs of acceptance and psychological processing. These behaviors are consistent with the tasks of dying, such as life review and meaning-making. They do not indicate denial or maladaptive coping, and thus do not require urgent intervention.

Choice B reason: Expressing a desire to live life to the fullest reflects a positive coping strategy. It suggests that the client is engaging with the time remaining in a meaningful way. This attitude supports emotional well-being and does not signal a need for corrective intervention.

Choice C reason: Hoping for a peaceful and dignified death is a realistic and healthy expectation for someone with terminal illness. It reflects acceptance and a desire for comfort-focused care. This statement aligns with palliative goals and does not indicate psychological distress.

Choice D reason: Saying he is well and making future plans may suggest denial or lack of acceptance of the prognosis. While hope is important, unrealistic expectations can interfere with end-of-life planning, emotional preparation, and appropriate use of palliative resources. This response warrants further assessment to ensure the client understands his condition and is emotionally supported.