Final answer:
A CNA must respect a resident's right to refuse care, ensure proper communication, document the refusal, and report it to a supervisor. They also need to balance the resident's autonomy against potential harm and adhere to ethical practices in health care.
Step-by-step explanation:
When a resident refuses care, a Certified Nursing Assistant (CNA) must respond with respect for the individual's rights while also considering the safety and well-being of the resident. First, the CNA should ensure that the resident is fully informed and understands the implications of their refusal. It's crucial to ascertain whether the refusal is based on a lack of information or understanding, fear, or a rational decision. Once clear communication is established, the CNA should document the refusal and report it to a supervisor or nurse to ensure that the refusal is acknowledged and that proper procedures are followed. In some cases, such as where refusal could lead to significant harm, further ethical and clinical considerations may be necessary to determine the best course of action. Maintaining professionalism and ensuring the rights of residents are upheld is paramount to the role of a CNA. Ethical dilemmas, like those surrounding patient autonomy versus public health concerns or mandated care, illustrate the complexities inherent in health care decision-making.