Question 51

Ask the nurse to allow a later meal.

The resident's refusal of the 7 a.m. breakfast indicates a need for flexibility in meal scheduling. Asking the nurse to allow a later meal respects the resident's preferences while ensuring they receive proper nutrition.

A) insist he gets up

Insisting that the resident gets up for breakfast disregards their autonomy and personal choice. It may lead to resistance and a negative experience, which is not conducive to their overall care.

B) ask nurse to allow later meal

This option is appropriate as it acknowledges the resident's refusal and seeks an accommodating solution. It demonstrates a commitment to patient-centered care by allowing for individual preferences regarding meal times.

C) talk to dietitian

While consulting a dietitian can be beneficial for nutritional planning, it is not necessary in this situation. The immediate issue is the resident's refusal of breakfast, which can be addressed by simply offering a later meal.

D) ignore & bring tray

Ignoring the resident's refusal and bringing the tray could lead to food waste and may frustrate the resident. This option does not engage with the resident's needs or preferences effectively.

Conclusion

The best approach in this scenario is to ask the nurse to allow a later meal, as it takes into account the resident's preferences and promotes a more positive dining experience. All other options fail to respect the resident's autonomy or address their immediate needs effectively.