Emotional SupportQuestion 154 of 200
A non-verbal dying resident grimaces, moans, and pulls away when turned. The CNA should:
a.Assume no pain since the resident cannot describe it
b.Withhold turning to avoid causing pain
c.Tell the resident to relax
d.Report observed pain behaviors to the nurse promptly so PRN analgesia can be administered and the plan adjusted
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 (a) is harmful and a quality-of-care failure under 42 CFR §483.25. Stopping necessary care (b) like repositioning leads to pressure injuries. Telling the resident to relax (c) is dismissive of suffering.
Law Reference: 42 CFR §483.25; 42 CFR §483.45Practice all 200 questions free — no signup required.
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