During morning care, a resident who is typically quiet and withdrawn becomes restless, fidgety, and repeatedly groans, although they deny having pain when asked. The HCA should:

Question: During morning care, a resident who is typically quiet and withdrawn becomes restless, fidgety, and repeatedly groans, although they deny having pain when asked. The HCA should:

Answer options:

• Assume they are just agitated and try to redirect them with a different activity. ✅ Observe for other non-verbal cues of pain and report their behaviour to the LPN/RN.
• Offer them a warm beverage to help them relax.
• Document that the resident is agitated and denies pain.

Correct answer: Observe for other non-verbal cues of pain and report their behaviour to the LPN/RN.

Explanation: Changes in behaviour such as restlessness, fidgeting, and groaning, especially in residents who may have cognitive impairment or difficulty expressing themselves, can be non-verbal indicators of pain. The HCA should observe further and report these changes to the LPN/RN for assessment.