Spiritual Assessment Frameworks Flashcards

Which spiritual assessment tool uses the acronym HOPE to guide chaplain interviews?

Answer: Hope, Organized religion, Personal practices, Effects on care

The HOPE tool assesses sources of Hope, Organized religion, Personal practices, and Effects on care/medical decisions.

When using the FICA Spiritual History Tool, what does the 'C' stand for?

Answer: Coping

In FICA, 'C' stands for Coping — how the patient's spirituality helps them cope with illness.

A chaplain notes a patient feels 'abandoned by God' following a cancer diagnosis. Which assessment domain does this PRIMARILY represent?

Answer: Spiritual distress

Feeling abandoned by God is a classic indicator of spiritual distress, a core domain in most spiritual assessment frameworks.

The 7×7 Model developed by Fitchett is notable because it assesses spirituality across how many dimensions?

Answer: 7

Fitchett's 7×7 Model assesses seven holistic dimensions (medical, psychological, family, psychosocial, ethnic/cultural/racial, societal, and spiritual) combined with seven spiritual dimensions.

Which element is LEAST likely to be addressed in a brief spiritual screening tool used in an acute care setting?

Answer: A detailed childhood religious history

Brief screening tools focus on immediate spiritual needs and referrals, not comprehensive life histories.

According to the Joint Commission standards, who holds PRIMARY responsibility for conducting spiritual screening in a hospital?

Answer: Nursing staff

The Joint Commission places initial spiritual screening responsibility on nursing staff as part of the general admission assessment.

In spiritual assessment, 'meaning-making' refers to a patient's ability to:

Answer: Construct a coherent narrative around their suffering

Meaning-making is the cognitive and spiritual process of integrating painful experiences into a coherent life story.