If a resident's condition changes suddenly (such as confusion or shortness of breath), what should you do?

• A. Report immediately to the nurse and document the change; monitor the resident and stay with them if safe.
• B. Wait to see if it resolves.
• C. Notify the resident's family only.
• D. Ignore unless the nurse asks.

Answer: (A)

Sudden changes in a resident’s condition require prompt escalation and active monitoring. The quickest way to protect the resident is to alert the licensed nurse immediately, document what you observed (what happened, when it started, and any signs like confusion or shortness of breath), and stay with the resident if it’s safe while you monitor for any additional changes. This enables timely assessment, possible interventions, and continuity of care, and your documentation provides a factual record for the care team. Waiting to see if it resolves, notifying the family only, or ignoring the change are not appropriate responses because they delay critical care and may put the resident at greater risk. Always follow your facility’s protocol and seek help right away.