Restorative CareQuestion 118 of 200

A resident with rheumatoid arthritis has difficulty gripping a standard fork. Which adaptive intervention BEST promotes independent eating?

a.Switch the resident to a pureed diet without consulting the dietitian
b.Feed the resident the entire meal so that she does not become frustrated
c.Provide built-up handle utensils, a plate guard, and a non-slip mat
d.Withhold her meals until she is able to manage a regular fork on her own

Explanation

Adaptive utensils (built-up handles, rocker knives), plate guards, and non-slip mats allow residents with limited grip or coordination to feed themselves — preserving independence and dignity. Feeding entirely (b) creates dependency. Diet changes (a) are physician/dietitian decisions; CNAs cannot alter diet orders. Withholding food (d) is neglect under 42 CFR §483.12 (abuse/neglect prohibition). 42 CFR §483.25 requires support of nutritional status and functional ability; Title 22 CCR §72315 requires the nursing service to meet daily living needs.

Law Reference: 42 CFR §483.25; Title 22 CCR §72315

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