California Nursing Home Administrator License Practice Exam

What should be done with residents who refuse to follow a therapeutic diet?

1. Require a dietician for a consult

2. Be given a 45-day relocation notice

3. Be counseled and documentation of refusal noted in the resident record

4. Be counseled and an incident report must be filed

The correct answer is: Be counseled and documentation of refusal noted in the resident record

Residents who refuse to follow a therapeutic diet should be counseled, and documentation of their refusal must be noted in their resident record. This approach prioritizes the resident's rights and autonomy while also ensuring a clear, organized method for tracking their decisions regarding diet. Counseling provides an opportunity to educate residents about the importance of the therapeutic diet and the potential consequences of non-compliance. It is essential to communicate with the resident to understand their reasons for refusal, which can help in addressing any concerns they might have. Documenting the refusal in the resident's record is crucial for legal and medical purposes, as it creates a formal account of the resident’s decision and the discussions that took place. This process follows the standards of practice in long-term care facilities, emphasizing the involvement of the resident in their care decisions. It promotes transparency, accountability, and better communication between staff and residents. By addressing the refusal appropriately, the facility ensures that the resident's medical and dietary needs are balanced with their rights and choices.