Restorative CareQuestion 130 of 200

A new resident eats every meal alone in her room and tells the CNA, 'No one here knows me.' The MOST appropriate restorative-psychosocial response is to:

a.Document her refusal to socialize and take no further action
b.Insist she attend every group activity each day
c.Report her statement to the nurse, learn about her interests and culture, and gradually introduce her to compatible residents and activities
d.Move her to a different facility

Explanation

Loneliness and isolation accelerate cognitive and functional decline. 42 CFR §483.24(c) requires the facility to support psychosocial well-being and meaningful activities. The CNA's role: report the statement to the nurse for care-plan revision, learn about the resident's culture, language, faith, and hobbies, and offer graduated socialization. Documenting without action (a) is neglectful. Forcing attendance (b) violates the right to choose under 42 CFR §483.10. Transfer (d) is not a CNA decision and does not address the underlying need. Title 22 CCR §72381 covers activity programs.

Law Reference: 42 CFR §483.24(c); Title 22 CCR §72381

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