When a resident refuses care, which action supports dignity while safety?

• A. Respect the decision, document refusal, offer alternatives or times to revisit, and inform the nurse.
• B. Force care to protect safety
• C. Tell the family only
• D. Ignore the refusal

Answer: (A)

Respecting a resident’s right to refuse care while keeping safety in mind means honoring their autonomy and handling the situation with dignity. When a resident declines, respond calmly, acknowledge their decision, and avoid pressuring or arguing. Document the refusal clearly with the time, exactly what was declined, and any reason given, so the care plan reflects the resident’s wishes and there is a clear record for safety and accountability. Then offer alternatives or a different plan that could meet their needs without forcing care, and consider a later time to revisit the request if appropriate. Inform the nurse so the care plan can be reviewed and safety concerns addressed, ensuring the team stays coordinated.

Dignity in care involves giving residents some control over their own care and treating them with respect, while safety is addressed through proper communication, observation, and documentation. Involve the resident as much as possible, protect privacy, and avoid sharing sensitive information unnecessarily. Forcing care, or ignoring or merely telling the family without involving the resident or documenting the decision, undermines autonomy and safety.