A resident recovering from a left CVA has right-sided hemiplegia and mild dysphagia. Which CNA action is MOST appropriate at mealtime?
Explanation
Dysphagia care requires upright positioning (90 degrees), small bites, food placed on the UNAFFECTED side (the resident has sensation and motor control there), chin-tuck if ordered, and observation for coughing, pocketing, or wet voice. Feeding lying flat (c) causes aspiration. Mixing foods (a) is unappetizing and does not improve swallow safety. Placing food on the affected side (d) causes pocketing and aspiration. 42 CFR §483.25 and Title 22 CCR §72315 require staff to follow the care plan and prevent avoidable harm such as aspiration pneumonia.
Law Reference: 42 CFR §483.25(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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