Identify the correct components of the FICA spiritual history tool and what it assesses.

• A. Facts, Information, Consultation, Autonomy; assesses decision-making ability.
• B. Faith, Intention, Charity, Care; assesses religious rituals.
• C. Faith, Importance/Influence, Community, Address in care; assesses religious/spiritual beliefs and their impact on medical decisions and care preferences.
• D. Family, Income, Community, Access; assesses social determinants.

Answer: (C)

FICA provides a quick, patient-centered way to bring spirituality into medical conversations. The components are Faith, Importance/Influence, Community, Address in care. Faith refers to what the patient believes about ultimate concerns or meaning. Importance/Influence captures how central spirituality is to the patient and how it might shape medical decisions. Community identifies religious or spiritual groups that can support the patient. Address in care outlines how clinicians should incorporate spiritual concerns into care planning, such as involving chaplains or respecting rituals.

This tool specifically assesses religious/spiritual beliefs and how they affect medical decisions and care preferences. The other options mix up concepts that aren’t about spirituality in this context—one set focuses on decision-making ability, another on religious rituals, and another on social determinants—so they don’t fit the intended purpose of FICA.