What response by a client with a nursing diagnosis of "Spiritual distress" indicates to the nurse that a desired outcome measure has been met?

The chosen response indicates that the client has achieved a level of understanding and acceptance regarding their situation, which is central to alleviating spiritual distress. By accepting that punishment from God is not related to their illness, the client is moving away from feelings of guilt, shame, and anger that may have been contributing to their spiritual distress. This acceptance signifies a shift in perspective that can lead to a more peaceful state of mind and a healthier relationship with their spirituality.

In the context of spiritual distress, individuals often grapple with questions of meaning, purpose, and their relationship with a higher power. When a client begins to separate their illness from feelings of divine punishment, it suggests they are processing their experiences in a healthier way. This change can contribute significantly to overall well-being, signaling that the nursing interventions aimed at addressing the client's spiritual needs have been effective.

The other responses do not reflect a resolution of spiritual distress. For instance, expressing concern about the meaning and importance of life indicates an ongoing struggle, while remaining angry at God shows a lack of reconciliation with spiritual beliefs. Refusing to participate in rituals suggests a disconnection, rather than an acceptance of faith, which does not signify a positive outcome in this context.