Mental HealthQuestion 132 of 200

A previously cheerful resident now sleeps most of the day, eats only a few bites at meals, has lost five pounds in two weeks, and tells the CNA, 'What's the point of getting out of bed?' The CNA should:

a.Report all observations and the resident's statement to the charge nurse immediately and document in the chart
b.Tell the resident to cheer up, encourage her to think positively, and offer to bring her a favorite snack at lunch
c.Move the resident to a brighter room without telling the charge nurse
d.Wait two more weeks to see whether her mood and appetite lift

Explanation

Depression in older adults is common, often missed, and dangerous — it raises suicide risk and accelerates physical decline. Warning signs: anhedonia, sleep/appetite change, weight loss, hopeless statements. The CNA must report observations and verbatim resident statements to the nurse without delay so the resident can be assessed by the IDT and physician for depression and suicide risk. Waiting (d) risks deterioration or suicide. 'Cheer up' messages (b) shame the resident and worsen depression. Unilateral room changes (c) exceed CNA scope. 42 CFR §483.40 mandates behavioral health services.

Law Reference: 42 CFR §483.40; Title 22 CCR §72527

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