A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

The correct answer is D because making funeral arrangements indicates the client has accepted the terminal diagnosis as a reality, demonstrating a sense of hopelessness. A: Decreased energy level is a common symptom of a terminal illness but not necessarily indicative of hopelessness. B: Requesting a second opinion shows a desire for more information and does not necessarily imply hopelessness. C: Wanting to talk about the diagnosis with nursing staff can be a coping mechanism and does not directly indicate hopelessness.