Emotional SupportQuestion 165 of 200

A resident asks a CNA, 'Will you hold my hand for a few minutes? I'm scared.' Therapeutic touch in this context is:

a.Permitted only when a family member is present in the room to witness the interaction and sign the care record
b.Always inappropriate and a professional boundary violation
c.Appropriate, comforting, and within scope as long as the touch is welcomed, professional, and non-sexual
d.Acceptable only when a physician has ordered comfort measures

Explanation

Holding a hand at the resident's invitation is a humane, therapeutic gesture and within CNA scope when professional, non-sexual, and consensual. The CNA should always confirm consent ('Would you like me to hold your hand?'), respect cultural norms about touch (some cultures restrict opposite-sex touch outside care tasks), and document significant interactions. Touch that is sexualized, prolonged inappropriately, or unwanted is misconduct and may constitute abuse. Family presence (a) and physician orders (d) are not required for ordinary comforting touch under 42 CFR §483.10 (dignity).

Law Reference: 42 CFR §483.10

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