Communication & CultureQuestion 34 of 200
A Chinese resident's family asks the CNA not to tell the resident she has cancer because in their culture it is harmful to inform the patient directly. The CNA should:
a.Inform the nurse and social worker so the team can navigate disclosure preferences in accordance with the resident's stated wishes and culturally sensitive practice
b.Promise the family she will never tell
c.Tell the resident immediately to override the family
d.Ignore the family request
Explanation
Cultural practices around 'protective truth-telling' are common in many Asian and Latinx families, but the resident's right to know is paramount under 42 CFR §483.10(c). The team should ascertain what the resident wants to know (the resident may delegate decision-making to family). The CNA does not decide alone—she communicates the family's request to the nurse and social worker for ethical, culturally informed planning. Promising silence (b), unilateral disclosure (c), or ignoring (d) all bypass the proper process.
Law Reference: 42 CFR §483.10(c); shared decision-makingPractice all 200 questions free — no signup required.
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