Author Question: The nurse notices a twisted cloth bracelet tied around the wrist of a pediatric patient who is ... (Read 129 times)

ashley · **on:** Jul 8, 2018

The nurse notices a twisted cloth bracelet tied around the wrist of a pediatric patient who is Hmong. The child's father explains that the bracelet is to protect the child's soul. What should the nurse recognize that the bracelet represents?

1. Child abuse, because the bracelets could cut off circulation to the child's hands
2. An antiquated practice
3. A religious practice carrying spiritual significance to the family
4. A need for patient and family education

Question 2

A patient who is Orthodox Jewish is terminally ill. The family and rabbi spend a great deal of time at the patient's bedside. At the time of death, what should the nurse expect to occur?

1. The family will approve organ donation.
2. The rabbi will say Shiva.
3. The family will approve an autopsy.
4. The patient may want to say the Shema or have it said for him.

cdmart10 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Correct Answer: 3

Symbols of religious belief include jewelry, medals, amulets, icons, totems, or body ornamentation that carry religious or spiritual significance. They may be worn as an assertion of one's faith, to provide protection, or as a source of comfort or strength. The Hmong cultural belief is that by placing the twisted cloth around the patient's wrist it will prevent the soul from being able to leave the body. It is not an antiquated practice but one of cultural significance; there is not a need for family education and no harm is being done to the child.

Answer to Question 2

Correct Answer: 4

Orthodox Jewish patients may want to say the Shema or have it said for them at the time of their death. The Shema is a prayer of praise. Autopsy is discouraged. When autopsy is warranted, it must be limited to essential organs or systems, and all body parts must be buried together. In the Jewish religion, Shiva is a week-long period of mourning following the death of first degree relatives, it is not a spoken prayer.