If a resident refuses a bath, what should the CNA do?

• A. Force the resident to bathe to ensure hygiene.
• B. Document the refusal but do not inform anyone or offer alternatives.
• C. Respect the decision, offer alternatives and privacy, document the refusal per policy, and notify the nurse if hygiene or safety is a concern.
• D. Ignore the refusal and continue with care.

Answer: (C)

Respect a resident’s autonomy while keeping safety and hygiene in mind. When a resident refuses a bath, acknowledge their decision, protect their privacy, and offer feasible alternatives to help with cleanliness. This might mean a partial or sponge bath, washing only essential areas, or helping them dress in clean clothes and maintain grooming. Document the refusal per policy, including time, date, and any reason the resident gives, and notify the nurse if there are hygiene or safety concerns or if the resident’s condition requires attention. If the resident changes their mind, be ready to assist. Forcing a bath or ignoring the refusal isn’t appropriate, and notifying the nurse ensures any health risks are addressed.