A client with dementia, who usually eats well, is refusing food and fluids at supper, despite gentle encouragement from the HCA. The HCA notes the client appears to be grimacing slightly. What is the most appropriate action for the HCA?

Question: A client with dementia, who usually eats well, is refusing food and fluids at supper, despite gentle encouragement from the HCA. The HCA notes the client appears to be grimacing slightly. What is the most appropriate action for the HCA?

Answer options: ✅ Notify the Registered Nurse (RN) or Licensed Practical Nurse (LPN) of the change in behaviour and refusal to eat/drink.

• Force-feed small amounts of food to prevent dehydration.
• Document the refusal and try again at the next mealtime.
• Assume the client is not hungry and offer a sugary drink instead.

Correct answer: Notify the Registered Nurse (RN) or Licensed Practical Nurse (LPN) of the change in behaviour and refusal to eat/drink.

Explanation: A sudden change in a client's eating habits, especially if accompanied by signs of discomfort like grimacing, can indicate an underlying medical issue such as pain, infection, or dental problems. This observation requires immediate reporting to the nurse for assessment.