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Resident Rights

A client won't go to physical therapy. As a nursing assistant you must

From Free CNA Skills Test Practice pdf

Answer choices

  1. A insist that the client go
  2. B ask the client to go later
  3. C report the refusal
  4. D assist the client to get to physical therapy

Correct answer: C. report the refusal

Clinical Rationale

Report the refusal.

When a client refuses to attend physical therapy, it is essential to document and report the refusal to the appropriate healthcare provider. This ensures that the client's preferences are respected while also allowing for a proper assessment of their needs and potential barriers to participation in therapy.

A) Insist that the client go

Insisting that the client go against their will may create tension and could be perceived as coercive. It is important to respect the client's autonomy and decision-making capacity. Forcing or insisting on therapy can lead to further resistance and diminish the therapeutic relationship.

B) Ask the client to go later

While suggesting that the client might go later could be a supportive approach, it does not address the refusal adequately. If the client is unwilling to participate, simply postponing the appointment does not resolve the underlying issue and does not fulfill the responsibility of reporting the refusal.

C) Report the refusal

Reporting the refusal is the correct action to take, as it ensures that the healthcare team is aware of the client's decision. This allows for further evaluation of the situation and consideration of alternative interventions or support for the client, which is crucial for their overall care.

D) Assist the client to get to physical therapy

Assisting the client to get to physical therapy without their consent would not be appropriate. This action disregards the client's wishes and may exacerbate feelings of being forced into treatment. Respecting the client's choice is vital for fostering trust and cooperation in their care.

Conclusion

When a client refuses to attend physical therapy, reporting the refusal is the most responsible course of action. This ensures that the healthcare team is informed and can address the client's concerns appropriately. Respecting client autonomy while keeping the team updated is essential for effective and compassionate care.

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