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PHI 413 Ethical Spiritual Decision Making
Health Care Final Exam Grand Canyon
University Official Practice Exam Actual Exam
2026/2027 with Detailed Rationales | Complete
Exam-Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Christian Worldview and Medical Decision-Making | Q1 – Q10
Section 2 | The Problem of Evil, Suffering, and Theodicy | Q11 – Q23
Section 3 | The Problem of Hell, Judgment, and Eternal Destiny | Q24 – Q30
Section 4 | Science, Faith, and the Bible | Q31 – Q38
Section 5 | Spiritual Assessment and Integrated Case Analysis | Q39 – Q50
Instructions: Choose the single best answer. Pass: 75% in 90 minutes.
══════════════════════════════════════
SECTION 1: CHRISTIAN WORLDVIEW AND MEDICAL DECISION-
MAKING Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A Christian patient newly diagnosed with leukemia tells the nurse they will refuse
chemotherapy, believing that accepting treatment demonstrates a lack of faith in
God's healing power. In responding to this patient, what perspective best reflects a
Christian worldview on sickness and medical intervention?
,2
A. Acknowledge that God can heal supernaturally while explaining that medical
treatment is often an instrument of God's common grace and healing. ✓
CORRECT
B. Inform the patient that refusing medical treatment demonstrates a lack of true
faith in God's power to heal through natural means.
C. Advise the patient that faith and medical treatment are incompatible and they
must choose one path over the other.
D. Tell the patient that supernatural healing was only for biblical times and they
must rely entirely on medicine.
Correct Answer: A
Rationale: A Christian worldview recognizes that God sovereignly uses both
miraculous intervention and medical science as means of healing, making them
complementary rather than mutually exclusive. The tempting wrong answer falsely
equates the refusal of medicine with a lack of faith, ignoring that God often works
through natural means and human vocation.
Question 2 of 50
An oncologist is explaining the risks and benefits of an aggressive, experimental
treatment to a patient, emphasizing that the intervention aims to maximize the
patient's well-being while avoiding unnecessary harm. In this conversation, how
should the physician best distinguish between the principles of beneficence and
nonmaleficence?
A. Beneficence requires preventing harm, while nonmaleficence requires actively
promoting the patient's good.
B. Beneficence requires actively promoting the patient's good, while
nonmaleficence requires avoiding or inflicting no harm. ✓ CORRECT
,3
C. Beneficence is a secular principle, while nonmaleficence is uniquely derived
from a Christian worldview.
D. Beneficence focuses on patient autonomy, while nonmaleficence focuses on
equitable distribution of resources.
Correct Answer: B
Rationale: Beneficence actively seeks the patient's best interests and well-being,
whereas nonmaleficence is the strict obligation to do no harm. The tempting wrong
answer simply reverses the definitions, which is a common trap for students
rushing through the four principles.
Question 3 of 50
During a spiritual assessment, a patient with cancer asks the nurse how to balance
trusting God for healing with undergoing painful medical treatments. What
response best reflects a Christian worldview?
A. Prayer should replace chemotherapy if the patient has enough faith to be
physically healed.
B. Medical resources are secular and should be approached with extreme caution
by believers.
C. Trusting God and using medical resources are complementary, as God works
through caregivers. ✓ CORRECT
D. Seeking a second medical opinion demonstrates a lack of trust in God's
provision.
Correct Answer: C
Rationale: The Christian worldview holds that trusting God and utilizing medical
resources are complementary, recognizing God's sovereignty over both
, 4
supernatural healing and medical science. The tempting wrong answer promotes a
dualistic view that separates the spiritual from the physical, which contradicts the
biblical doctrine of creation.
Question 4 of 50
An elderly patient with severe dementia is unable to make decisions, and the
family insists on aggressive, painful interventions that the care team believes will
cause suffering without clear benefit. What ethical principle is most directly
challenged by continuing this aggressive treatment?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence ✓ CORRECT
Correct Answer: D
Rationale: Continuing aggressive treatment that causes suffering without clear
benefit primarily challenges the principle of nonmaleficence, which requires
avoiding harm. The tempting wrong answer, beneficence, is actually secondary
here because the primary ethical tension is the harm inflicted by the intervention
itself.
Question 5 of 50
A Christian physician is treating a patient who requests an abortion due to fetal
anomalies. The physician wants to respect patient autonomy but is constrained by
their Christian conscience. How should the physician weigh autonomy within a
Christian worldview?
PHI 413 Ethical Spiritual Decision Making
Health Care Final Exam Grand Canyon
University Official Practice Exam Actual Exam
2026/2027 with Detailed Rationales | Complete
Exam-Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Christian Worldview and Medical Decision-Making | Q1 – Q10
Section 2 | The Problem of Evil, Suffering, and Theodicy | Q11 – Q23
Section 3 | The Problem of Hell, Judgment, and Eternal Destiny | Q24 – Q30
Section 4 | Science, Faith, and the Bible | Q31 – Q38
Section 5 | Spiritual Assessment and Integrated Case Analysis | Q39 – Q50
Instructions: Choose the single best answer. Pass: 75% in 90 minutes.
══════════════════════════════════════
SECTION 1: CHRISTIAN WORLDVIEW AND MEDICAL DECISION-
MAKING Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A Christian patient newly diagnosed with leukemia tells the nurse they will refuse
chemotherapy, believing that accepting treatment demonstrates a lack of faith in
God's healing power. In responding to this patient, what perspective best reflects a
Christian worldview on sickness and medical intervention?
,2
A. Acknowledge that God can heal supernaturally while explaining that medical
treatment is often an instrument of God's common grace and healing. ✓
CORRECT
B. Inform the patient that refusing medical treatment demonstrates a lack of true
faith in God's power to heal through natural means.
C. Advise the patient that faith and medical treatment are incompatible and they
must choose one path over the other.
D. Tell the patient that supernatural healing was only for biblical times and they
must rely entirely on medicine.
Correct Answer: A
Rationale: A Christian worldview recognizes that God sovereignly uses both
miraculous intervention and medical science as means of healing, making them
complementary rather than mutually exclusive. The tempting wrong answer falsely
equates the refusal of medicine with a lack of faith, ignoring that God often works
through natural means and human vocation.
Question 2 of 50
An oncologist is explaining the risks and benefits of an aggressive, experimental
treatment to a patient, emphasizing that the intervention aims to maximize the
patient's well-being while avoiding unnecessary harm. In this conversation, how
should the physician best distinguish between the principles of beneficence and
nonmaleficence?
A. Beneficence requires preventing harm, while nonmaleficence requires actively
promoting the patient's good.
B. Beneficence requires actively promoting the patient's good, while
nonmaleficence requires avoiding or inflicting no harm. ✓ CORRECT
,3
C. Beneficence is a secular principle, while nonmaleficence is uniquely derived
from a Christian worldview.
D. Beneficence focuses on patient autonomy, while nonmaleficence focuses on
equitable distribution of resources.
Correct Answer: B
Rationale: Beneficence actively seeks the patient's best interests and well-being,
whereas nonmaleficence is the strict obligation to do no harm. The tempting wrong
answer simply reverses the definitions, which is a common trap for students
rushing through the four principles.
Question 3 of 50
During a spiritual assessment, a patient with cancer asks the nurse how to balance
trusting God for healing with undergoing painful medical treatments. What
response best reflects a Christian worldview?
A. Prayer should replace chemotherapy if the patient has enough faith to be
physically healed.
B. Medical resources are secular and should be approached with extreme caution
by believers.
C. Trusting God and using medical resources are complementary, as God works
through caregivers. ✓ CORRECT
D. Seeking a second medical opinion demonstrates a lack of trust in God's
provision.
Correct Answer: C
Rationale: The Christian worldview holds that trusting God and utilizing medical
resources are complementary, recognizing God's sovereignty over both
, 4
supernatural healing and medical science. The tempting wrong answer promotes a
dualistic view that separates the spiritual from the physical, which contradicts the
biblical doctrine of creation.
Question 4 of 50
An elderly patient with severe dementia is unable to make decisions, and the
family insists on aggressive, painful interventions that the care team believes will
cause suffering without clear benefit. What ethical principle is most directly
challenged by continuing this aggressive treatment?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence ✓ CORRECT
Correct Answer: D
Rationale: Continuing aggressive treatment that causes suffering without clear
benefit primarily challenges the principle of nonmaleficence, which requires
avoiding harm. The tempting wrong answer, beneficence, is actually secondary
here because the primary ethical tension is the harm inflicted by the intervention
itself.
Question 5 of 50
A Christian physician is treating a patient who requests an abortion due to fetal
anomalies. The physician wants to respect patient autonomy but is constrained by
their Christian conscience. How should the physician weigh autonomy within a
Christian worldview?
