Hello (((INA))). I dont think that you literally did anything wrong. Even when I worked at a Facility for mental retardation it was considered a violation to let someone manipulate the helpers(which is what this person is doing consistently). all you have to ask is what do you need and when the patient says nothing then leave. You are not hired as a one on one nurse with this person and you have others to attend to. I feel that a Psych evaluation is in order for this person if screaming is just to get attention, then you therapist and Psych Dr can give you a daily maintenance plan for her behaviors. I feel in not having a case plan that is neglect on the part of the home, but you are definitely in charge of the assessments and getting the Psych Evaluation, so I dont feel that as long as the person is okay when you leave the room you are neglectful. If the home did their job to protect patients by getting a daily maintenance order you aides would not have to go through all of this, and the patients behavior may improve greatly. Take care Ina we all ave bad days. I hope you feel better soon. Soidhonia