The nurse determines that a middle-aged client has developed spiritually when the client states: ...

Correct Answer: 1
Rationale 1: The client who listens and learns from others about God or a supreme being is demonstrating openness to others' truths, which is a characteristic of spiritual development in middle adulthood.
Rationale 2: Stating that the tales in the Bible are real is a characteristic of a school-age client.
Rationale 3: Attending services with friends on most Sundays is a characteristic of spiritual development of the adolescent.
Rationale 4: Attending the same church and following cultural customs is a characteristic of a school-age client.