Restraint Education for Nurses

A licensed independent practitioner writes an order for restraint for a 30-year-old patient who is exhibiting violent behavior due to a mental health disorder. When does the written order for restraint expire?

Every 4 hours

Restraints can be removed by any member of the health care team, including a Patient Care Technician (PCT) or Licensed Practical Nurse (LPN).

False

During her report, the nurseterm-4 tells you that Mr. Anderson, who is diagnosed with schizophrenia, has tried to hit several staff members and states that he is tired of living. Which of The Joint Commission restraint standards best meets the needs of this patient?

Restraint Standards for violent or self-destructive behavior

Which detail should be included to document that initiation of restraint is clinically appropriate?

The circumstances that led to restraint

Which statement describes an example of a patient care item that restricts a patient's movement but is not considered a restraint?

The patient must be monitored every 2 hours or sooner.

Which example of medication administration is considered chemical restraint?

Medications that are not a standard part of the patient's treatment that are given to control behavior

A nurse conducts an assessment of a patient in restraints and notices a new injury to the patient's wrist . Which action is most appropriate?

Notify the provider and complete an SOS occurrence report

Which statement describes an example of a patient care item that restricts a patient's movement but is not considered a restraint?

Raised stretcher side rails when taking a patient to another department

Patients who are restrained because of violent or self-destructive behavior should be continuously monitored with a documented assessment every 15 minutes.

True

Which statement describes an alternative to the use of restraint?

Asking the patient's family members to stay and help monitor the patient