Oregon Certified Nursing Assistant State Practice Exam

What is the appropriate response when a resident refuses assistance with bathing?

1. Insist that they must comply

2. Respect their choice and offer to assist later

3. Ignore the refusal

4. Report the refusal immediately

The correct answer is: Respect their choice and offer to assist later

When a resident refuses assistance with bathing, the appropriate response is to respect their choice and offer to assist later. This aligns with the principles of resident autonomy and dignity, which are crucial in patient care. Acknowledging a resident's decision to refuse help promotes their independence and preserves their right to make choices about their own body and care. It remains important to maintain a supportive environment, so offering to assist at a later time demonstrates care and readiness to help while respecting their immediate wishes. Encouraging open communication can also lead to a better understanding of any underlying reasons for the refusal, whether they are emotional, psychological, or related to physical comfort. Establishing a trusting relationship is essential in health care settings, and respecting choices fosters this bond. While other responses may seem to address the situation differently, they do not prioritize the resident’s autonomy or comfort in the same manner.