Restraint Alternative and Safe Restraint Use

Informed consent is needed for restraint use. a. True b. False

A

Never use force to apply a restraint. a. True b. False

A

A nurse tells you to use towels and tape to restrain a person. What should you do? a. Refuse and explain why. b. Use towels and tape with the manufacturer's instructions. c. Ignore the nurse's instructions. d. Follow the nurse's instructions.

A

A patient scratches and picks at his skin. You would expect the nurse to a. Find out the reason for the behavior b. Order mitt restraints for the person c. Order wrist restraints for the person d. Ask the doctor to order an ointment

A

A resident keeps trying to pull out her feeding tube. Which restraint is the least restrictive and appropriate for this resident? a. Wrist restraints b. Jacket restraint c. Vest restraint d. Belt restraint

A

A restraint is ordered. Which is the least likely to cause injuries? a. Following the manufacturer's instructions b. Trying to get free from the restraint c. Keeping the restraint on the entire shift d. Using whatever restraint is available

A

Before applying a restraint, do the following except a. Do not inform the person what you are going to do b. Have the nurse show you how to safely apply the restraint c. Find out what type and size to use d. Find out when to apply and release the restraint

A

Jacket restraints a. Are applied with the opening in back b. Can be worn backwards c. Cross in back d. Open at the side

A

Mitt restraints prevent a. Finger use b. Hand movements c. Wrist movements d. Arm movements

A

Restraints can be ordered a. After less restrictive measures fail to protect the person b. When the family requests them c. To control or prevent a behavior d. When the least restrictive method is available

A

Unnecessary restraint is a. False imprisonment b. Malpractice c. Negligence d. Involuntary seclusion

A

Vest and jacket restraints are applied to the a. Chest b. Waist c. Limbs d. Hands

A

Which is not a restraint alternative? a. Providing a fast paced and exciting setting b. Practicing measures to prevent falls c. Spending time with the person d. Letting the person wander in a safe area

A

Which statement about restraints is incorrect? a. Any member of the health team can order a restraint to protect the person. b. Unnecessary restraint is false imprisonment. c. Informed consent is required before a restraint is applied. d. The manufacturer's instructions are followed.

A

Which statement about the use of restraints is incorrect? a. Any health team member can order their use. b. They may be used only for the immediate physical safety of the person or others. c. They may only be used when less restrictive measures fail to protect the person or others. d. They must be discontinued at the earliest possible time.

A

A drug makes a person sleepy and unable to function. The drug is a. Used to treat medical symptoms b. A chemical restraint c. A restraint alternative d. Part of the person's care plan

B

A person has a vest restraint. You need to check the person's a. Pulse b. Breathing c. Skin color d. Skin temperature

B

A resident's sheets are tucked in very tight. The person cannot get out of bed and it is hard for the person to move in bed. Which is correct? a. The tight sheets are restraint alternatives. b. The tight sheets are restraints. c. The person needs to have the bed rails up. d. The tight sheets prevent agitation and restlessness

B

A restraint is ordered for a patient. What restraint should you use? a. The least restrictive device b. The one noted on the person's care plan c. Mitt or wrist restraints d. A vest or jacket restraint

B

Bed rail covers and gap protectors a. Are restraints b. Protect the person from entrapment c. Are never used with restraints d. Protect the person from wandering

B

Restraints that are too big or too loose could cause a. Anger and mistrust b. Strangulation c. Confusion d. Nerve injuries

B

The straps of vest restraints a. Open in the back b. Cross in front c. Cross in back d. Open at the side

B

Which is a restraint alternative? a. Staff assignments are changed daily. b. Floor cushions are placed next to beds. c. Lights are always bright in rooms and hallways. d. The person is kept in his or her room as much as possible.

B

Which is not a restraint alternative? a. Keeping the signal light within the person's reach b. Making the person take an afternoon nap c. Explaining all procedures and care measures d. Padding walls and the corners of furniture

B

Which statement about restraint alternatives is correct? a. They require a doctor's order. b. They are part of the person's care plan. c. The least restrictive method is required. d. They are chemical restraints

B

Wrist restraints are applied so that they are a. Loose enough for the person to get free of them b. Snug c. Tight d. The least restrictive

B

A resident has wrist restraints. You need to check the person at least every a. 5 minutes b. 10 minutes c. 15 minutes d. 20 minutes

C

Before applying a restraint, the person must be a. Sitting b. Lying down c. In good alignment d. Resting quietly

C

Freedom from restraint a. Is a nursing center policy b. Applies only to confused and disoriented persons c. Is every person's right d. Requires informed consent

C

Restraint straps are secured a. To the bed rails b. Within the person's reach c. To the movable part of the bed frame at waist level d. To the footboard or headboard

C

Restraints are ordered by the a. Nurse b. Health team c. Doctor d. The person's legal representative

C

Restraints are used a. When the nurse thinks they are needed b. When the health team thinks they are needed c. When less restrictive measures fail to protect the person d. To prevent falls

C

Restraints are used to a. Punish a person b. Control a behavior c. Treat medical symptoms d. Help the staff

C

Which allows the person to turn from side to side or sit up in bed? a. Vest restraint b. Jacket restraint c. Roll belt restraint d. Full-body restraint

C

Which is a restraint? a. A rocking chair b. A reclining chair c. A chair with an attached tray table d. A low bed

C

Which statement about physical restraints is incorrect? a. They are attached to the person's body. b. They are next to the person's body. c. The person can easily remove them. d. They limit movement or normal access to one's body

C

Which statement about restraints is incorrect? a. A person restrained in the supine position is at great risk for aspiration. b. Bed rails are raised when using vest, jacket, or belt restraints. c. A back cushion is used if the person is restrained in a chair. d. The signal light is kept within the person's reach.

C

A patient has a wrist restraint. Which of the following is it especially important to report to the nurse? a. Why the restraint was applied b. The person's temperature c. The person's respiratory rate d. If you could not feel a pulse in the restrained extremity

D

A person has a restraint. Skin care is given at least every a. 15 minutes b. 30 minutes c. Hour d. 2 hours

D

A person has a restraint. The person is repositioned at least every a. 15 minutes b. 30 minutes c. Hour d. 2 hours

D

A person is restrained. Which promotes the person's independence? a. Checking on the person every hour b. Doing as much as possible for the person c. Removing the restraint every 4 hours d. Making sure the signal light and other needed items are within reach

D

Certain patients and residents tend to wander. Who needs to know who they are? a. The nursing team involved in their care b. The health team c. The nursing assistants d. The entire staff

D

Restraints are buckled or tied a. Using the least restrictive method b. With tape or rope c. Within the person's reach d. According to agency policy and the manufacturer's instructions

D

Restraints are removed and basic needs met at least every a. 15 minutes b. 30 minutes c. Hour d. 2 hours

D

Restraints are used a. To discipline a person b. For staff convenience c. To control or prevent a behavior d. To protect persons from harming themselves or others

D

Which is not a restraint alternative? a. Answering signal lights promptly b. Meeting food, fluid, and elimination needs c. Giving back massages d. Loud music, television, or radio

D

Which statement about restraints is incorrect? a. Restraints can cause death. b. Restraints can cause falls. c. Every agency has policies and procedures about restraint use. d. Restraints are used for staff convenience.

D

Which statement about restraints is incorrect? a. Restraints can cause embarrassment, depression, and anger. b. The Centers for Medicare & Medicaid Services (CMS) has rules for using restraints. c. Restraints affect a person's dignity and self-esteem. d. Restraints decrease confusion and agitation.

D