Which of the following is characteristic of spiritual distress?

A) A client prays five times a day.
B) A middle-aged adult abruptly stops going to church.
C) A young woman admits to being agnostic.
D) A Christian teenager attends a Jewish synagogue service.

Spiritual distress is often characterized by a sudden change in religiosity or the abandonment of previously held religious beliefs or practices. A sudden cessation of attending church, as in option B, is a typical example of such a change. The other options do not necessarily indicate spiritual distress; option A may demonstrate religious devotion, option C may simply be a statement of personal belief, and option D may indicate an interest in exploring other religious practices.