Oregon Certified Nursing Assistant State Practice Exam

What should an NA do if a resident is refusing care?

1. Insist that the resident comply

2. Respect the resident's wishes and document the situation

3. Ignore the resident's refusal

4. Ask another staff member to take over

The correct answer is: Respect the resident's wishes and document the situation

When a resident refuses care, it is essential for the Nursing Assistant (NA) to respect the resident's wishes and document the situation appropriately. This approach is rooted in the principles of patient autonomy and dignity, which emphasize the right of individuals to make informed choices about their own care. Respecting a resident's refusal demonstrates that their preferences and comfort levels are valued, fostering a trusting relationship between the caregiver and the resident. It is important to acknowledge the resident's feelings and, if possible, engage in a conversation to understand their reasons for refusal. This communication can sometimes lead to a resolution where the resident may feel more comfortable receiving care. Documentation is crucial as it provides an official record of the incident, which helps to ensure continuity of care and informs other staff members about the resident's preferences. This record can also be important for any necessary follow-up regarding the resident's care plan or adjustments needed in future interactions. Overall, respecting a resident's wishes while maintaining clear documentation is consistent with the ethical and legal standards of nursing care, promoting both the rights of the resident and the responsibilities of the caregiver.