Restorative CareQuestion 118 of 200
A resident with rheumatoid arthritis has difficulty gripping a standard fork. Which adaptive intervention BEST promotes independent eating?
a.Feed the resident the entire meal to avoid frustration
b.Switch the resident to a pureed diet without consulting the dietitian
c.Provide built-up handle utensils, a plate guard, and a non-slip mat
d.Withhold all food until the resident can use a regular fork
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 (a) creates dependency. Diet changes (b) 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 §72315Practice all 200 questions free — no signup required.
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