CNA Gerontological Nursing study materials
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The Purse, the Phone, and the Missing Twenty Dollars

CNA Gerontological Nursing · Put your knowledge to work in context.

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The Purse, the Phone, and the Missing Twenty Dollars

Mr. Bianchi is 88 and lives in assisted living. He has mild memory loss but manages his own money. He tells the aide that $20 is missing from his wallet and that 'the night girl' was in his room. The aide knows the night aide helped him find his glasses two nights ago. Mr. Bianchi's daughter calls and demands that the night aide be fired. The aide also notices Mr. Bianchi has been hiding his wallet in the laundry basket and forgot where he put it twice last week. There is no camera in the room. The aide is not a supervisor.

1. How should the aide respond to Mr. Bianchi and to the daughter, without accusing anyone?

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With Mr. Bianchi: listen without arguing, take the report seriously, and say, 'I hear you, and I will report this.' Do not promise an outcome and do not say 'you probably misplaced it,' which dismisses him. Help him look in his usual spots, including the laundry basket, without implying he is confused. With the daughter: acknowledge her worry, explain that a report will go to the supervisor, and avoid naming or defending the night aide. Do not share other residents' information or the aide's work history. The aide should write a factual note: what Mr. Bianchi said, the time, where they looked, and what was found. The aide should not search the night aide's belongings or question her alone. The supervisor investigates; the aide documents and reports.

2. What should the supervisor consider before any discipline, and what rights are at stake?

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The supervisor should separate suspicion from proof. There is no camera and no witness, and Mr. Bianchi has been hiding and misplacing the wallet, so a memory-related loss is plausible. The supervisor should check the laundry, review who entered the room, and interview staff factually. The night aide has a right to a fair process and to not be labeled a thief without evidence. Mr. Bianchi has rights to his property, to be believed, and to privacy. The facility has a duty to report suspected mistreatment under state rules if evidence emerges, but a single unverified claim is not proof. Firing on demand would be unfair to the aide; ignoring the claim would fail Mr. Bianchi. The supervisor should also consider a lockbox or a small safe and a money-counting routine to reduce future disputes.