A non-verbal dying resident grimaces, moans, and pulls away when turned. The CNA should:
Explanation
Pain in non-verbal residents is assessed by behavior: grimacing, moaning, guarding, restlessness, tachycardia, withdrawal. Validated tools include PAINAD (Pain Assessment in Advanced Dementia). The CNA must report observations promptly so the nurse can administer PRN comfort medications under 42 CFR §483.45 (pharmacy services). Assuming no pain (c) is harmful and a quality-of-care failure under 42 CFR §483.25. Stopping necessary care (a) like repositioning leads to pressure injuries. Telling the resident to relax (d) is dismissive of suffering.
Law Reference: 42 CFR §483.25; 42 CFR §483.45This 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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