Which action is aligned with addressing spiritual distress in a terminally ill patient?

• A. Provide pharmacologic management only
• B. Assist and support the client in establishing short-term goals
• C. Ignore spiritual concerns
• D. Delay discussions about goals with family

Answer: (B)

Addressing spiritual distress in terminally ill patients involves recognizing that meaning, purpose, and belief systems are integral to overall well-being. Helping the patient articulate and pursue short-term goals gives a sense of agency and continuity with their values during a difficult time, which can alleviate existential distress. By supporting goal setting, clinicians facilitate meaningful conversations, help align care with the patient's beliefs, and open opportunities for spiritual care involvement. Pharmacologic management targets physical symptoms and does not directly address spiritual or existential concerns. Ignoring spiritual concerns or delaying family discussions neglects the emotional and spiritual needs and deprives the patient of support and shared decision-making.