PNC Ethical & Spiritual Care 2

Question 1

A parish nurse is working with a terminally ill patient who refuses a blood transfusion due to religious beliefs. What ethical principle is the nurse upholding by honoring this decision?

Accepted Answer

Autonomy

Answer

Autonomy is the ethical principle that respects an individual's right to make informed decisions about their own care, including those based on religious convictions.

Question 2

Which spiritual assessment tool uses the acronym HOPE to explore a patient's spiritual resources?

Accepted Answer

Sources of hope, Organized religion, Personal spirituality, Effects on care

Answer

The HOPE tool assesses Sources of hope, Organized religion, Personal spirituality/practices, and Effects on care and end-of-life decisions.

Question 3

A faith community member confides suicidal ideation to the parish nurse and begs for confidentiality. What is the nurse's primary obligation?

Accepted Answer

Assess safety and initiate appropriate intervention protocols

Answer

When a patient discloses suicidal ideation, the parish nurse's duty to protect life supersedes confidentiality; a thorough safety assessment and intervention are mandatory.

Question 4

During an ethical committee meeting, a parish nurse advocates for a patient whose family wants aggressive treatment the patient previously declined in writing. Which document supports the patient's wishes?

Accepted Answer

Advance directive / living will

Answer

An advance directive or living will is a legally recognized document that outlines a patient's treatment preferences when they can no longer speak for themselves.

Question 5

What does the 'F' in the FICA spiritual history tool stand for?

Accepted Answer

Faith and belief

Answer

In the FICA tool, 'F' stands for Faith and belief, prompting the clinician to ask whether the patient considers themselves spiritual or religious.

(PNC) Parish Nurse Certification Practice Test

(PNC) Parish Nurse Certification Practice Test

PNC Ethical & Spiritual Care 2