Emotional SupportQuestion 166 of 200

A Mexican-American family wants to bring a candle, a small altar with the Virgen de Guadalupe, and family photos into the dying resident's room. The CNA should:

a.Refuse because candles are a fire hazard
b.Allow the altar and a real lit candle without notifying anyone
c.Notify the nurse, allow the altar and photos, and offer a battery-operated flameless candle to honor the tradition while complying with facility fire safety policy
d.Tell the family religious items disrupt other residents

Explanation

Honoring cultural and religious rituals at end-of-life is protected under 42 CFR §483.10(f)(11). Many Mexican-American/Latinx families create a small altar (altar/ofrenda) with the Virgen de Guadalupe, photos, and candles. Most facilities prohibit open flames for fire safety, so the CNA offers a flameless LED candle — accommodating the tradition while preserving safety. Outright refusal (a, d) violates rights. Ignoring fire safety (b) endangers all residents and may violate Title 22 fire codes. Coordinate through the nurse and chaplain to integrate the ritual with the plan of care.

Law Reference: 42 CFR §483.10(f)(11); 42 CFR §483.40

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