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3. Shandra is a 54-year-old woman who has severe clinical depression.

3. Shandra is a 54-year-old woman who has severe clinical depression. She was diagnosed with breast cancer 5 years ago and went through chemotherapy. She describes the experience as the worst time of my life.” Six months ago, she was told that the cancer had returned. She has made the decision not to go through chemotherapy a second time. She has been overheard saying, “What did I do to deserve this?” and “God must really be mad at me for something.” After talking with Shandra, the mental health nurse arrives at a nursing diagnosis of Readiness for Enhanced Spiritual Well-being.

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a. What interventions may be implemented for Shandra?

b. When would spiritual interventions be contraindicated?

c. What ethical concerns need to be considered when developing nursing interventions related to religion and spirituality?

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