SCS Spiritual Assessment Models 3 — Questions and Answers
Question 1: The '7×7 Model' for spiritual assessment was developed by whom?
- Christina Puchalski
- George Fitchett (Correct answer)
- Harold Koenig
- Gowri Anandarajah
Correct answer: George Fitchett
George Fitchett developed the 7×7 Model, which includes seven holistic dimensions and seven spiritual dimensions.
Question 2: In Fitchett's 7×7 Model, which of the following is one of the seven spiritual dimensions?
- Physical functioning
- Emotional regulation
- Sense of meaning and purpose (Correct answer)
- Socioeconomic status
Correct answer: Sense of meaning and purpose
Sense of meaning and purpose is one of the seven spiritual dimensions in Fitchett's 7×7 Model.
Question 3: A patient states, 'God is punishing me with this illness.' This statement is best assessed under which FICA domain?
- F – Faith (Correct answer)
- I – Importance
- C – Community
- A – Address
Correct answer: F – Faith
The patient's attribution of illness to divine punishment reflects their Faith beliefs and theological understanding.
Question 4: The HOPE model's 'O' component stands for:
- Organized religion (Correct answer)
- Outcome of spiritual care
- Openness to spiritual discussion
- Obligation to religious community
Correct answer: Organized religion
In HOPE, O stands for Organized religion, assessing the patient's involvement with a formal religious group.
Question 5: Which spiritual assessment model is most commonly attributed to integration into primary care and was developed by Christina Puchalski?
- HOPE
- SPIRITual History
- FICA (Correct answer)
- FACT
Correct answer: FICA
Christina Puchalski developed the FICA tool, which has been widely adopted in primary care and medical education.
Question 6: The concept of 'spiritual risk' in assessment refers to:
- A patient's likelihood of converting to a new religion
- Spiritual distress that may impede coping or healing (Correct answer)
- Over-reliance on prayer instead of medical treatment
- Conflict between chaplain and patient values
Correct answer: Spiritual distress that may impede coping or healing
Spiritual risk identifies patients whose spiritual distress places them at greater vulnerability for poor health outcomes.
Question 7: In the 'Spiritual Care Wheel' model, spiritual needs are understood as:
- Identical to religious needs in all cases
- Embedded within and influenced by culture, community, and biography (Correct answer)
- Purely psychological phenomena without transcendent meaning
- Best addressed by clergy rather than trained chaplains
Correct answer: Embedded within and influenced by culture, community, and biography
The Spiritual Care Wheel conceptualizes spiritual needs as situated within a person's broader cultural, communal, and biographical context.
SCS Spiritual Assessment Models 3
The '7×7 Model' for spiritual assessment was developed by whom?