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.Slap the resident's hand down to assert authority
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 the bath is necessary
d.Physically restrain the resident's arms and finish the bath
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. Physical restraint without a physician order and informed consent (a) violates 42 CFR §483.12 (right to be free from abuse and unnecessary restraint). Arguing (b) escalates. Striking the resident (d) is battery (PC §242) and abuse — grounds for immediate termination, criminal prosecution, and CDPH license revocation. Title 22 CCR §72319 requires policies on resident behavior management without abuse.
Law Reference: 42 CFR §483.12; Title 22 CCR §72319Practice all 200 questions free — no signup required.
Related questions on this topic
- 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:
- Which behavior in an elderly LTC resident should the CNA report as a POTENTIAL warning sign of suicide risk?
- A resident with dementia repeatedly wanders out of her room and into other residents' rooms. The MOST appropriate first response is to:
- Under federal regulations, physical restraints in a nursing facility may be used only when:
- A widowed resident with no nearby family says, 'No one ever comes to see me.' Which CNA action BEST addresses her psychosocial well-being?
- A resident's adult daughter visits and becomes loudly critical of the CNA's care in front of the resident. The CNA's BEST response is to:
Last reviewed: · editorial process
Sen Lin, PrepPass Founder · Verified against California CNA Certification Exam · How we review