Communication & CultureQuestion 26 of 200

A Vietnamese Buddhist resident is dying. The family asks that monks be allowed in to chant at the bedside through the night. The CNA should:

a.Ask the family to chant silently so the sound does not carry into the hallway
b.Coordinate with the nurse and charge to accommodate the religious practice, providing private space and minimizing interruptions
c.Tell the family that overnight chanting disturbs other residents and deny the monks entry until the morning shift begins at seven
d.Allow one monk at the bedside for ten minutes at the end of visiting hours

Explanation

Cultural and religious end-of-life practices are protected expressions of resident dignity under 42 CFR §483.10(e). Buddhist chanting, Catholic last rites, Filipino prayer vigils, and Latinx novenas are end-of-life rituals that should be accommodated. The CNA coordinates with the nurse for private space and care timing. Denial (c), arbitrary limits (d), or suppression (a) violate religious accommodation and add suffering at a sacred time.

Law Reference: 42 CFR §483.10(e); CDPH guidance

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