INSTRUCTIONS: ANSWER ANY 2 QUESTIONS FROM EACH OF THE COURSES
MCHA 601 QUESTIONS:
Based on Community
Question 1: A factory worker tells you he feels useless after being injured on the job. He says his church friends stopped visiting. He asks, "What's the point of me now?" How would you use the concept of spiritual presence from Module 6 to respond? What would you say and why?
Based on Family
Question 2 : A wife sits by her dying husband. She says, "I can't pray anymore. I'm too angry with God." Her husband was a pastor for forty years. Using Module 8 on grief and Module 5 on spiritual assessment, how would you respond? What questions would you ask?
Based on Interfaith
Question 3: A Muslim patient asks you to read the Shahada into his ear as he is dying. You are a Christian chaplain. From Module 3 and Module 7, what should you do? Is it okay to say words from another faith? Why or why not? Write your answer with your reasoning.
Based on Individual
Question 4: A soldier in the military hospital tells you, "I killed a child in combat. I can't live with myself." He says he cannot tell his commander. He is not planning to hurt himself now. From Module 8 on moral injury, how do you respond? What would you say to this soldier?
MCHA 602 Questions:
Based on Community
Question 1: An elderly woman in a nursing home says, "My church used to be my whole life. Now I can't get there. Nobody visits. I feel cut off from God." Using the FICA model from Module 4, what questions would you ask her? Write at least three questions that explore her community connection.
Based on Family
Question 2: A woman's husband just died. She says, "I feel nothing. I should be crying but I'm not. Something is wrong with me." Using Module 6 on distinguishing spiritual distress from mental health conditions, what would you assess? Is this spiritual distress or depression or normal grief? Write your assessment.
Based on Interfaith
Question 3: You are assessing a patient who says, "I am spiritual but not religious. I believe in energy and nature." You are a Christian chaplain. From Module 2 on scope of practice and Module 5 on culturally humble assessment, how do you assess this patient's spirituality? Write the questions you would ask.
Based on Individual
Question 4: A patient tells you, "I haven't prayed since my daughter died. Every time I try, I get angry. I don't know if I believe in anything anymore." Using Module 7 on gathering the spiritual history, what questions would you ask to understand her spiritual journey? Write three questions and explain why you chose each one.
Question 5: You complete a spiritual assessment using the HOPE model and write a diagnosis of "Spiritual distress related to terminal diagnosis as evidenced by patient stating 'There is no point to anything.'" From Module 9 on care planning, write one SMART goal and two interventions for this patient. Include who will do each intervention.
MCHA 603 Questions:
Based on Community
Question 1: You are a chaplain in a diverse neighborhood. A family from a small African diaspora tradition requests a ritual you have never seen. The hospital says no because they don't understand it. From Module 8 on Indigenous and African diaspora traditions, what do you do? How do you advocate for the family?
Based on Family
Question 2: A family is from the Jehovah's Witness tradition. Their child needs a blood transfusion to survive. The parents refuse. From Module 10 on new religious movements, what is your role? You disagree with their decision but must support them. Write what you would say to the parents.
Based on Interfaith
Question 3: You are the only chaplain in a hospital with patients from many traditions. A Sikh patient asks you to help with his five Ks. A Hindu patient wants Ganges water. A Native American patient wants to smudge. From Module 8 and Module 11, what do you do when you cannot do everything yourself? What is your responsibility?
Based on Individual
Question 4: A patient says, "I don't believe in anything. Religion is a crutch for weak people." He is facing major surgery and seems scared. From Module 9 on non-religion and atheism, how do you respond? What questions would you ask to understand his source of meaning?
Question 5: A Christian patient tells you, "I committed the unforgivable sin. God cannot forgive me." He is very distressed. From Module 3 on Christianity and the case example about scrupulosity, what do you do? You are a chaplain, not a theologian. Write what you would say to this patient.
MCHA 604 Questions:
Based on Community
Question 1: A correctional officer asks you to tell him what an inmate said to you in private. He says, "I need to know for security reasons." From Module 3 on confidentiality and Module 9 on corrections chaplaincy, what is your ethical duty? What do you say to the officer?
Based on Family
Question 2: A family member asks you to pray with the patient. The patient is unconscious and has not given consent. You do not know the patient's religion. From Module 4 on informed consent, is it okay to pray? Why or why not? Write your ethical reasoning.
Based on Interfaith
Question 3: A patient from a tradition you find offensive asks you to participate in a ritual. From Module 8 on conscientious objection, you have the right to refuse. But from Module 8 on accommodation, you cannot abandon the patient. Write what you would say to this patient and what you would do next.
Based on Individual
Question 4: A patient confides in you that she is having suicidal thoughts. She asks you not to tell anyone. She has a specific plan. From Module 3 on limits of confidentiality, what must you do? What do you say to the patient before you act?
Question 5: You notice you have started looking forward to visiting a certain patient. You think about this patient when you are at home. You are not acting on any feelings, but you are uncomfortable. From Module 6 on power, vulnerability, and sexual ethics, and Module 10 on supervision, what do you do? Write what you would say to your supervisor.
Goodluck.


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