A competent resident with capacity refuses her prescribed evening medications. The CNA should:
Explanation
42 CFR §483.10(c)(6) protects a resident's right to refuse treatment. A competent resident may refuse care; staff must honor the refusal, ensure the resident understands consequences (educated via the nurse/physician), document the refusal verbatim, and notify the nurse. Covert medication (b) is battery, fraud, and abuse — and often illegal absent specific physician orders and an established surrogate process. Force (d) is battery (PC §242). Threatening discharge (a) is coercion and may violate transfer/discharge protections under 42 CFR §483.15. CNAs do not administer medications regardless.
Law Reference: 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 →
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