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Health Care Assistant (HCA) Practice Exam · Question

An HCA has been assisting a client with dementia in a long-term care setting. The client regularly becomes agitated and resistive to care during personal hygiene. The HCA has tried several approaches without success. What is the most appropriate next step for the HCA?

Reporting specific and ongoing care challenges, along with attempted interventions, allows the LPN/RN to assess the situation further, adjust the care plan, or

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Question: An HCA has been assisting a client with dementia in a long-term care setting. The client regularly becomes agitated and resistive to care during personal hygiene. The HCA has tried several approaches without success. What is the most appropriate next step for the HCA?

Answer options:

  • Continue with the current approach, assuming the client will eventually comply.
  • Document the client's resistance and state, 'Client uncooperative during hygiene.' ✅ Report the ongoing difficulty and client's response to the LPN/RN, including specific observations and approaches tried.
  • Skip personal hygiene for the day to avoid conflict.

Correct answer: Report the ongoing difficulty and client's response to the LPN/RN, including specific observations and approaches tried.

Explanation: Reporting specific and ongoing care challenges, along with attempted interventions, allows the LPN/RN to assess the situation further, adjust the care plan, or explore other strategies. Skipping care or vague documentation is not acceptable practice.

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