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SPIRITUAL CARE IN NURSING EXAM – HOLISTIC PATIENT
SUPPORT 2026-27 JUST RELEASED VERSION
Introduction
The Spiritual Care in Nursing Exam – Holistic Patient Support evaluates a nurse’s ability to integrate spiritual care
into clinical practice while respecting diverse beliefs, cultures, and values. Spiritual care is a key component of
holistic nursing, addressing patients’ need for meaning, purpose, connection, and inner peace—especially during
illness, trauma, or end-of-life care.
This exam focuses on spiritual assessment, therapeutic communication, cultural competence, ethical
considerations, and evidence-based interventions that support patients’ spiritual well-being. Nurses are expected
to demonstrate sensitivity, professionalism, and the ability to collaborate with interdisciplinary teams, including
chaplains and family members.
Exam Structure
This is a 100-question multiple-choice examination (MCQs) with one correct answer per question.
Domains Covered
1. Foundations of Spiritual Care (15%)
2. Spiritual Assessment & Communication (20%)
3. Cultural & Religious Competence (15%)
4. Clinical Application in Acute & Chronic Care (15%)
5. End-of-Life & Palliative Spiritual Care (15%)
6. Ethical & Legal Considerations (10%)
7. Interdisciplinary Collaboration & Patient Education (10%)
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1.
Which best defines spiritual care in nursing?
A. Religious instruction only
B. Addressing physical needs
C. Supporting meaning, purpose, and connection
D. Providing medication
Answer: C
Rationale: Spiritual care involves supporting patients’ search for
meaning, purpose, and connection, not only religious practices.
2.
A patient expresses feelings of hopelessness. What is the
nurse’s priority intervention?
A. Ignore the statement
B. Explore feelings and provide emotional support
C. Give medication immediately
D. Change the subject
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Answer: B
Rationale: Exploring feelings using therapeutic communication
helps address spiritual distress and emotional needs.
3.
Which tool is commonly used for spiritual assessment in
nursing?
A. Glasgow Coma Scale
B. FICA tool
C. Braden Scale
D. Pain Assessment Scale
Answer: B
Rationale: FICA (Faith, Importance, Community, Address) is a
validated tool for assessing spiritual needs.
4.
Which is a sign of spiritual distress?
A. Expressing a sense of purpose
B. Hopelessness or anger
C. Maintaining normal routines
D. Asking about hobbies
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Answer: B
Rationale: Hopelessness, anger, or despair may indicate unmet
spiritual needs.
5.
Which nursing action demonstrates respect for a patient’s
spiritual beliefs?
A. Imposing your own beliefs
B. Ignoring the patient’s preferences
C. Supporting and facilitating the patient’s beliefs
D. Discouraging spiritual discussion
Answer: C
Rationale: Nurses must support patient beliefs without
imposing personal views.
6.
A patient asks, “Why is this happening to me?” What is the
nurse’s best response?
A. “Don’t worry about it.”
B. “Let’s talk about your feelings and what gives you meaning.”
C. “You’ll be fine soon.”
D. “That’s not my concern.”
SPIRITUAL CARE IN NURSING EXAM – HOLISTIC PATIENT
SUPPORT 2026-27 JUST RELEASED VERSION
Introduction
The Spiritual Care in Nursing Exam – Holistic Patient Support evaluates a nurse’s ability to integrate spiritual care
into clinical practice while respecting diverse beliefs, cultures, and values. Spiritual care is a key component of
holistic nursing, addressing patients’ need for meaning, purpose, connection, and inner peace—especially during
illness, trauma, or end-of-life care.
This exam focuses on spiritual assessment, therapeutic communication, cultural competence, ethical
considerations, and evidence-based interventions that support patients’ spiritual well-being. Nurses are expected
to demonstrate sensitivity, professionalism, and the ability to collaborate with interdisciplinary teams, including
chaplains and family members.
Exam Structure
This is a 100-question multiple-choice examination (MCQs) with one correct answer per question.
Domains Covered
1. Foundations of Spiritual Care (15%)
2. Spiritual Assessment & Communication (20%)
3. Cultural & Religious Competence (15%)
4. Clinical Application in Acute & Chronic Care (15%)
5. End-of-Life & Palliative Spiritual Care (15%)
6. Ethical & Legal Considerations (10%)
7. Interdisciplinary Collaboration & Patient Education (10%)
,2
1.
Which best defines spiritual care in nursing?
A. Religious instruction only
B. Addressing physical needs
C. Supporting meaning, purpose, and connection
D. Providing medication
Answer: C
Rationale: Spiritual care involves supporting patients’ search for
meaning, purpose, and connection, not only religious practices.
2.
A patient expresses feelings of hopelessness. What is the
nurse’s priority intervention?
A. Ignore the statement
B. Explore feelings and provide emotional support
C. Give medication immediately
D. Change the subject
,3
Answer: B
Rationale: Exploring feelings using therapeutic communication
helps address spiritual distress and emotional needs.
3.
Which tool is commonly used for spiritual assessment in
nursing?
A. Glasgow Coma Scale
B. FICA tool
C. Braden Scale
D. Pain Assessment Scale
Answer: B
Rationale: FICA (Faith, Importance, Community, Address) is a
validated tool for assessing spiritual needs.
4.
Which is a sign of spiritual distress?
A. Expressing a sense of purpose
B. Hopelessness or anger
C. Maintaining normal routines
D. Asking about hobbies
, 4
Answer: B
Rationale: Hopelessness, anger, or despair may indicate unmet
spiritual needs.
5.
Which nursing action demonstrates respect for a patient’s
spiritual beliefs?
A. Imposing your own beliefs
B. Ignoring the patient’s preferences
C. Supporting and facilitating the patient’s beliefs
D. Discouraging spiritual discussion
Answer: C
Rationale: Nurses must support patient beliefs without
imposing personal views.
6.
A patient asks, “Why is this happening to me?” What is the
nurse’s best response?
A. “Don’t worry about it.”
B. “Let’s talk about your feelings and what gives you meaning.”
C. “You’ll be fine soon.”
D. “That’s not my concern.”
