What is the role of spirituality and religious coping in end-of-life distress, and what are potential risks and benefits?

• A. Spirituality has no impact on distress.
• B. Spirituality always resolves distress.
• C. Spirituality can provide meaning and comfort; risks include spiritual struggle or coercion; clinicians should assess beliefs, respect diversity, and integrate spiritual support when appropriate.
• D. Spirituality should be avoided in clinical care.

Answer: (C)