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.Always inappropriate and a boundary violation
b.Appropriate, comforting, and within scope as long as the touch is welcomed, professional, and non-sexual
c.Only permitted if family is present
d.Only acceptable if a physician orders it

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 (c) 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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