Difficulty: Hard

Average Score: 20%

A resident has chosen not to receive CPR. The nursing assistant should:

Rationale

Respect the resident's decision.

It is essential to honor the wishes of the resident regarding their choice not to receive CPR, as this decision reflects their autonomy and personal values regarding end-of-life care.

A (tell the resident CPR will save them) YOUR ANSWER

This option disregards the resident's autonomy and personal choice. While CPR may save lives in certain situations, it is not appropriate to pressure the resident with information that contradicts their expressed wishes. Respecting their decision is paramount, regardless of the potential outcomes of CPR.

B (respect the resident's decision) CORRECT

This choice aligns with ethical principles in healthcare, emphasizing the importance of patient autonomy. The nursing assistant should acknowledge and support the resident's right to make informed decisions about their own healthcare, including the decision to forgo CPR.

C (suggest the resident discuss this with family) YOUR ANSWER

While family discussions can be valuable, suggesting this may unintentionally pressure the resident to reconsider their choice. It is vital to prioritize the resident's wishes without implying that they should seek outside validation for their decision.

D (tell the resident they understand) YOUR ANSWER

While expressing understanding may seem supportive, it does not directly address the need to respect the resident's decision. This response may also come off as dismissive or insincere, failing to fully honor the resident's autonomy and choice regarding their care.

Conclusion

Respecting a resident's decision not to receive CPR is fundamental in providing compassionate and ethical care. The nursing assistant's role is to support the resident's autonomy, ensuring they feel heard and respected in their choices. Acknowledging their decision without pressure or coercion is crucial for maintaining trust and dignity in the healthcare relationship.

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