Which of the following CNA documentation entries is most appropriate?
Explanation
Per 42 CFR §483.20(g), documentation must be accurate, objective, factual, timely, and within scope of practice. Option d records measurable facts (intake %, refusal with stated reason, output amount and characteristics). Subjective judgments ('rude,' 'difficult'), diagnoses ('depressed'), and medication recommendations ('should probably be started on an antidepressant') are outside CNA scope and may misrepresent the resident. Objective documentation supports continuity of care and legal protection.
Law Reference: 42 CFR §483.20(g) (accurate documentation)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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