Patient RightsQuestion 19 of 200

An alert resident states she does not want a feeding tube even if she stops eating. The CNA should:

a.Inform the nurse so the wish can be documented in an advance directive and care plan
b.Tell her she has no choice once she cannot eat
c.Promise her the doctor will decide later
d.Tell her family to overrule her

Explanation

42 CFR §483.10(c)(7) and HSC §1418.8 protect a competent adult's right to formulate advance directives and refuse treatment, including artificial nutrition and hydration. The CNA's role is to relay the wish promptly to the licensed nurse so it can be documented in an advance directive (AHCD/POLST) and integrated into the care plan. Dismissing the wish (b), deferring vaguely (c), or inviting family override (d) violate self-determination and the Patient Self-Determination Act.

Law Reference: 42 CFR §483.10(c)(7); HSC §1418.8

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