# A nurse is providing end-of-life care for a client whose spiritual practices differ from her own. Which actions reflect culturally humble spiritual care? Select all that apply.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375081&lang=en  
> language: en  
> subject: Basic Care and Comfort  
> category: BCC

## Question

A nurse is providing end-of-life care for a client whose spiritual practices differ from her own. Which actions reflect culturally humble spiritual care? Select all that apply.

1

Use the FICA tool (Faith, Importance, Community, Address in care) to assess spirituality

2

Coordinate with the family-preferred spiritual leader rather than assuming hospital chaplain alone

3

Provide private space and time for family rituals when feasible

4

Suggest the family adopt the nurse own faith practices for comfort

5

Inquire about specific rituals around death, body care, and prayers

## Explanation

Culturally humble spiritual care includes structured assessment with tools like FICA, partnering with the family chosen spiritual leader, asking about specific rituals around death and body care (e.g., not removing certain religious items, prayers prior to body care, family handling of the body), and providing private space and time when possible. Imposing the nurse own beliefs is a boundary violation and is incompatible with cultural humility. Self-awareness of personal bias is essential.

## In-depth explanation

Cultural humility = lifelong self-reflection plus respectful partnership. Buddhism: chanting at moment of death, body left undisturbed for a period, family-led washing common.

## Clinical scenario

Client speaks Mandarin, family practices Buddhism with specific death rituals.

## Key concepts

- **cultural humility** — Lifelong learning posture acknowledging power differentials and self-bias.
- **FICA tool** — Spiritual assessment: Faith, Importance, Community, Address in care.
- **spiritual care** — Care recognizing meaning, transcendence, and spiritual distress in serious illness.

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