1. A patient with terminal illness requests a spiritual assessment. Which ethical principle primarily guides the nurse's response? A. Autonomy B. Beneficence C. Justice D. Nonmaleficence Answer: A. Autonomy Rationale: Autonomy respects the patient's right to make decisions about their own health care, including the desire for spiritual assessment. 2. When considering spiritual care, a nurse must balance respect for diversity with medical advocacy. This is an example of which ethical concept? A. Ethical distress B. Ethical dilemma C. Ethical residue D. Ethical reinforcement Answer: B. Ethical dilemma Rationale: An ethical dilemma occurs when two equally important values conflict, such as respecting patient diversity and advocating for medical needs. 3. In the context of spiritual care, the principle of nonmaleficence ensures that: A. Patients are provided with all information to make informed decisions. B. Patients' spiritual beliefs are not harmed by healthcare interventions. C. Fair distribution of healthcare resources is maintained. D. All patients are treated with equal respect and dignity. Answer: B. Patients' spiritual beliefs are not harmed by