CNA Certification (Written Exam)Activities of Daily LivingMedium
A resident is refusing to eat their meal, stating they 'don't like anything on the tray.' What is the MOST appropriate initial action for the CNA?
- AInsist the resident eat at least a few bites for nutrition.
- BTell the resident that they must eat to get better.
- CRemove the tray and offer a different meal immediately.
- DAsk the resident about their food preferences and report to the nurse.
Show answer & explanationAnswer & explanation
Correct answer: D. Ask the resident about their food preferences and report to the nurse.
Understanding a resident's preferences is key to encouraging adequate nutrition. By asking about their likes and dislikes, the CNA can gather valuable information to report to the nurse, who can then work with dietary staff to adjust the meal plan or offer alternatives.
Why the other options are wrong
- A. Insisting can cause resistance and frustration; forcing food is not appropriate.
- B. This statement is dismissive and does not address the resident's stated reason for refusal; it can lead to further resistance.
- C. Removing the tray immediately without further assessment may lead to missed opportunities for the resident to eat.
Addressing Meal Refusal
When a resident refuses a meal, the CNA should first try to understand the reason, respect their choices (within safety limits), and report concerns to the nurse.
- Always investigate the reason for refusal (pain, dislike, fatigue).
- Offer alternatives if available and appropriate.
- Document and report persistent refusal or significant intake changes.
Memory trick: Refusal? Ask and Report, Don't Force or Ignore!