A transgender female resident asks to be addressed as 'Ms.' and 'she/her.' Her chart shows her legal first name as 'Robert.' The CNA should:
Explanation
Under HSC §1439.50 (Lesbian, Gay, Bisexual, Transgender Long-Term Care Facility Resident's Bill of Rights), willful and repeated failure to use a resident's preferred name or pronouns can constitute prohibited mistreatment. Facilities must address residents by chosen name and pronoun and provide bathing, clothing, and rooming accommodations consistent with gender identity. The CNA documents preferences and reports any staff or roommate harassment. Using the legal name only (b, c) or polling others (a) violates dignity, identity, and CA law. Compliance is also a 42 CFR §483.10 dignity obligation.
Law Reference: HSC §1439.50; 42 CFR §483.10This 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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