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- Expresses concern with meaning of life and death and/or belief systems.
 - Verbalizes inner conflict about beliefs, concerns about relationship with deity.
 - Questions moral and ethical implications of therapeutic regimen.
 - Description of nightmares or sleep disturbances.
 - Unable to accept self.
 - Engages in self-blame.
 - Anger towards God.
 - Questions meaning of suffering.
 - Questions meaning for own existence.
 - Seeks spiritual assistance.
 - Unable to choose/or chooses not to participate in usual religious practices.
 - Displacement of anger toward religious representatives.
 - Regards illness as punishment.
 - Denies responsibilities for problems.
 - Alteration in behavior or mood evidenced by anger, crying, withdrawal, preoccupation, anxiety, hostility, apathy, etc.
 
Offered by Debra.