Restorative CareQuestion 116 of 200
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?
a.Button the blouse to keep the schedule on time
b.Tell the resident she must do it herself and walk away
c.Document that the resident refuses to dress
d.Sit with the resident, hand her the buttons one at a time, and offer step-by-step verbal cues with patience
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 (b) is dismissive and may be psychological neglect. Documenting refusal (c) 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 §72315Practice all 200 questions free — no signup required.
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