A resident with mild dementia repeatedly asks the CNA to button her blouse because 'it's faster when you do it.' The care plan lists 'encourage self-dressing with verbal cues.' What is the BEST response?
Explanation
42 CFR §483.24(b) requires the facility to support each resident's ability to perform ADLs and to prevent decline. Doing tasks for the resident (a) accelerates functional loss. Walking away (c) is dismissive and may be psychological neglect. Documenting refusal (d) mischaracterizes the situation — the resident is asking for support, not refusing. The correct approach uses graded assistance: verbal cueing, hand-over-hand if needed, breaking the task into small steps. This honors the care plan and the resident's dignity per Title 22 CCR §72315.
Law Reference: 42 CFR §483.24(b); Title 22 CCR §72315This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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