CNA Certification (Written Exam)Resident Rights and Legal/EthicalMedium

A bedbound resident develops a stage 3 pressure ulcer after staff repeatedly failed to reposition them as scheduled in the care plan. This situation is best classified as:

  1. ANeglect
  2. BInvoluntary seclusion
  3. CPhysical abuse
  4. DFinancial exploitation
Show answer & explanation

Correct answer: A. Neglect

Neglect is the failure to provide necessary care, such as scheduled repositioning, resulting in harm like a pressure ulcer. Unlike abuse, neglect does not require intent to harm, just a failure to meet a resident's care needs.

Why the other options are wrong

  • B. Involuntary seclusion involves isolating a resident against their will, unrelated here.
  • C. Physical abuse involves intentional infliction of injury, not omission of care.
  • D. Financial exploitation involves misuse of a resident's money or property.

Neglect vs. Abuse

Neglect is the failure to provide necessary care or services that results in harm, while abuse is an intentional act causing injury or distress.

  • Neglect can be unintentional but is still reportable
  • Pressure ulcers from missed repositioning are a classic neglect example
  • Both neglect and abuse must be reported immediately

Memory trick: 'Neglect = Not doing; Abuse = Doing harm.'

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