A POLST form indicates 'Do Not Attempt Resuscitation / DNR' and 'Comfort-Focused Treatment.' During the CNA's morning rounds the resident is found pulseless and apneic. The CNA should:
Explanation
POLST (CA Probate §4780 et seq.) is a physician/NP/PA-signed medical order that travels with the resident and is honored in all settings. DNR means no CPR. The CNA verifies the order, notifies the nurse, provides dignity (close eyes, smooth linens), and assists with post-mortem care after the nurse pronounces or contacts the physician. Initiating CPR against a valid DNR (a, d) violates resident rights under 42 CFR §483.10 and may constitute battery. Waiting passively without notifying the nurse (c) breaches duty. Facilities must follow valid advance directives.
Law Reference: CA Probate Code §4780 (POLST); 42 CFR §483.10(c)(6)This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
Practice all 200 questions free — no signup required.
Own the complete Certified Nursing Assistant (CNA) guide — PDF + EPUB, $19.99 →
Related questions on this topic
- A dying resident shows irregular breathing alternating with periods of apnea (no breathing) lasting up to 30 seconds, followed by rapid breaths. This pattern is called:
- Which observation is a sign of the active dying phase?
- A non-verbal dying resident grimaces, moans, and pulls away when turned. The CNA should:
- A 'living will' (Advance Health Care Directive) differs from a POLST in that the living will:
- Bereavement support is part of which type of care?
- A devout Catholic resident is actively dying. The family asks that a priest perform the Anointing of the Sick (Last Rites). The CNA should:
Last reviewed: · editorial process