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
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.
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