Legal & EthicalQuestion 190 of 200
A resident says, 'I don't want to take a shower today, maybe tomorrow.' The CNA should:
a.Tell the resident she has no choice and bathe her anyway
b.Document 'non-compliant' and skip bathing all week
c.Honor the resident's right to refuse, offer a partial bath or alternate time, document the refusal, and notify the nurse
d.Threaten to call the family if she does not comply
Explanation
Under Title 22 CCR §72527 and 42 CFR §483.10(c)(6), residents have the right to refuse treatment, including bathing, and to participate in scheduling. The CNA should respect the refusal, offer alternatives (partial bath, different time, different staff, shower vs. bath), explore the reason (pain, cold, fear, modesty, cultural), document the refusal verbatim, and notify the nurse. Forcing a bath (a) is battery. Skipping all hygiene (b) is neglect. Threats and coercion (d) violate dignity and the right to choose. The IDT may revise the bathing plan.
Law Reference: Title 22 CCR §72527; 42 CFR §483.10Practice all 200 questions free — no signup required.
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