Deck 14: Restraint Alternatives and Safe Restraint Use

Question 1

Restraints are used to

A)Punish a person
B)Control a behavior
C)Treat medical symptoms
D)Help the staff

Answer 1

Treat medical symptoms

Question 2

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

Answer 2

15 minutes

Question 3

It is a person's right to be free from restraint.

Answer 3

True

Question 4

Which statement about the use of restraints and seclusion 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,a staff member,or others.
C)They may only be used when less restrictive measures fail to protect the person,at staff member,or others.
D)They must be discontinued at the earliest possible time.

Question 5

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

Question 6

Informed consent is needed for restraint use.

Question 7

These statements are about physical restraints.Which 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 access to one's body.

Question 8

Restraints can be ordered

A)After all other 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

Question 9

Restraints are used

A)When the nurse thinks they are needed
B)When the health team thinks they are needed
C)When other measures fail to protect the person
D)To prevent falls

Question 10

Never use force to apply a restraint.

Question 11

These statements are about restraint alternatives.Which is correct?

A)They are part of the person's care plan.
B)They require a doctor's order.
C)The least restrictive method is required
D)They prevent or control a behavior

Question 12

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.

Question 13

These statements are about restraints.Which is incorrect?

A)Restraints can cause embarrassment,depression,and anger.
B)The agency must report any death that occurs while a person is in a restraint.
C)Restraints affect a person's dignity and self-esteem.
D)Restraints decrease confusion and agitation.

Question 14

Restraints are ordered by the

A)Nurse
B)Health team
C)Doctor
D)The person's legal representative

Question 15

Unnecessary restraint is

A)False imprisonment
B)Malpractice
C)Negligence
D)Involuntary seclusion

Question 16

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

Question 17

These statements are about restraints.Which 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.

Question 18

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

Question 19

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

Question 20

Freedom from restraint

A)Is a resident right protected by CMS
B)Is a nursing center policy
C)Applies only to confused and disoriented persons
D)Requires informed consent

Question 21

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.

Question 22

Restraint straps are secured

A)To the bed rails
B)Within the person's reach
C)To the movable part of the bed frame out of the person's reach
D)To the footboard or headboard

Question 23

Jacket restraints

A)Are applied with the opening in back
B)Can be worn backwards
C)Cross in back
D)Open at the side

Question 24

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

Question 25

Which is a restraint?

A)A chair with an attached tray table
B)A rocking chair
C)A reclining chair
D)A low bed

Question 26

Restraints are removed and basic needs met at least every

A)15 minutes
B)30 minutes
C)Hour
D)2 hours

Question 27

Mitt restraints prevent

A)Finger use
B)Hand movements
C)Wrist movements
D)Arm movements

Question 28

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

Question 29

These statements are about restraints.Which is incorrect?

A)A back cushion is used if the person is restrained in a chair.
B)A person restrained in the supine position is at great risk for aspiration.
C)Bed rails are raised when using vest,jacket,or belt restraints.
D)The signal light is kept within the person's reach.

Question 30

Which allows the person to turn from side to side or sit up in bed?

A)Vest restraint
B)Jacket restraint
C)Belt restraint
D)Full-body restraint

Question 31

A person has a vest restraint.You need to check the person's

A)Pulse
B)Skin color
C)Skin temperature
D)Breathing

Question 32

A patient has a wrist restraint.Which of the following is 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 felt a pulse in the restrained extremity

Question 33

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

Question 34

A resident keeps trying to pull out her feeding tube.Which restraint is the least restrictive?

A)Mitt restraints
B)Jacket restraint
C)Vest restraint
D)Belt restraint

Question 35

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

Question 36

Before applying a restraint,the person must be

A)Sitting
B)Lying down
C)In good alignment
D)Resting quietly

Question 37

Which is not a restraint alternative?

A)Providing a fast-paced and exciting setting
B)Reminiscing is done with the person
C)Spending time with the person
D)Letting the person wander in a safe area

Question 38

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.

Question 39

Vest and jacket restraints are applied to the

A)Chest
B)Waist
C)Limbs
D)Hands

Question 40

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

Question 41

A person has a restraint.Skin care is given at least every

A)15 minutes
B)30 minutes
C)Hour
D)2 hours

Question 42

A person has a restraint.The person is repositioned at least every

A)15 minutes
B)30 minutes
C)Hour
D)2 hours