If a resident refuses care, what should you do?

• A. Ignore the refusal and proceed.
• B. Ask again immediately until consent.
• C. Respect the decision, explain benefits, document/refusal per policy, and offer alternatives if allowed.
• D. Force care.

Answer: (C)

Respecting a resident’s right to refuse care and helping them make an informed choice is the key idea. When a resident refuses, pause, acknowledge their decision, and discuss the care in clear, simple terms so they understand the benefits and what could happen if it isn’t done. Then document the refusal exactly as policy requires—what was refused, who was present, the date and time, and that you explained the benefits. If allowed by policy, offer alternatives or adjustments that might meet their needs while honoring their choice, such as a different method or timing. If the resident may lack decision-making capacity, follow facility rules to assess capacity, involve family or a designated decision-maker as appropriate, and notify the supervising nurse before any action. Throughout, do not proceed with care against their will, and do not pressure or coerce. Continue to provide other care and check back later, as their preferences may change.