Mental HealthQuestion 135 of 200

A resident becomes verbally aggressive and raises a fist toward the CNA during a bath. The BEST de-escalation response is to:

a.Push the resident's hand down firmly and continue the bath, to show her that the behavior is not allowed on the unit at all
b.Stop the task, step back to a safe distance, speak calmly in a low voice, give the resident space, and leave to get help
c.Argue with the resident to prove that the bath is medically necessary
d.Hold the resident's arms down and finish the bath as quickly as possible

Explanation

De-escalation: stop the trigger task, give the resident space, lower voice and posture, validate feelings, and remove yourself if unsafe to summon help. Pushing the resident's hand down (a) or holding her arms down to finish the bath (d) is physical restraint without a physician order and informed consent, violating 42 CFR §483.12 (right to be free from abuse and unnecessary restraint); unconsented physical force during care is also battery (PC §242) and abuse — grounds for immediate termination, criminal prosecution, and CDPH license revocation. Arguing (c) escalates. Title 22 CCR §72319 requires policies on resident behavior management without abuse.

Law Reference: 42 CFR §483.12; Title 22 CCR §72319

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