RESTRAINTS

Question 1

When should restraints be used?

Answer 1

ONLY if everything else fails

Question 2

RESTRAINTS
-What are the purposes (3)

Answer 2

1. Reduce injury from fall
2. Prevention of interrupted therapy
3. Reduce risk of injury to others by patient

Question 3

RESTRAINTS
-Physical restraints (7)

Answer 3

1. Full set of side rails
2. Belt
3. Ankle/wrist
4. Mitten
5. Elbow
6. Jacket
7. table

Question 4

RESTRAINTS
-Chemical restraint

Answer 4

Sedatives

Question 5

ALTERNATIVES
Assess frequently for patient’s _____

Answer 5

needs

Question 6

ALTERNATIVES
-Orient the patients & family to what?
-Explain what?

Answer 6

-The environment
-All procedures

Question 7

ALTERNATIVES
-Offer ____ activies
-What are examples?

Answer 7

-diversional
-music, puzzles, activity aprons, folding towels

Question 8

ALTERNATIVES
-What should you provide?
-What should be used?

Answer 8

-Companionship & supervision
-Trained observers

Question 9

ALTERNATIVES
-You should assign confused/disoriented patients to what?

Answer 9

Rooms near nurses’ stations & observe them frequently

Question 10

ALTERNATIVES
-What do you want to use when managing aggressive behaviors?

Answer 10

De-escalation, time-out, & other verbal intervention techniques

Question 11

ALTERNATIVES
-Provide ____/____ stimuli

Answer 11

visual/auditory

Question 12

ALTERNATIVES
-Remove cues that promote what?
-how can you do this

Answer 12

-Leaving the room
-Close doors to block view of stairs
-Don’t allow them to wear street clothes

Question 13

ALTERNATIVES
-Promote what?

Answer 13

Relaxation techniques & normal sleep patterns

Question 14

ALTERNATIVES
-Institute ____/____ schedules as allowed by patient’s condition

Answer 14

-exercise/ambulation

Question 15

ALTERNATIVES
-Camouflage IV lines with what?

Answer 15

clothing, stockinette, or Kling gauze dressing

Question 16

ALTERNATIVES
-Evaluate all medication _____ & ensure ______ and _____ pain management

Answer 16

-effects
-timely
-effective

Question 17

ALTERNATIVES
-What should you discontinue ASAP?

Answer 17

Bothersome treatments

Question 18

ALTERNATIVES
-Use ____ devices

Answer 18

Protective

Question 19

HAZARDS
1. Skin ____
2. C______
3. I______
4. P______
5. D____
6. D_____
7. A_____
8. Increased possibility of what?
9. Death due to what?

Answer 19

1. skin breakdown
2. Contractures
3. Incontinence
4. Pneumonia
5. Depression
6. Delirium
7. Anxiety
8. serious injury due to fall
9. restricted breathing or circulation

Question 20

NURSING RESPONSIBILITIES
-Monitor _____

Answer 20

Closely

Question 21

NURSING RESPONSIBILITIES
-Monitor violent patients every ____ minutes

Answer 21

15

Question 22

NURSING RESPONSIBILITIES
-Monitor nonviolent paitents every ____ hours

Answer 22

2 hours

Question 23

NURSING RESPONSIBILITIES
-Assess skin for what?

Answer 23

redness, injury, circulation, sensation, ROM

Question 24

NURSING RESPONSIBILITIES
-Assess needs for _____

Answer 24

ADLs

Question 25

**NURSING RESPONSIBILITIES** -Observe their _____/____ to restraints

Answer 25

behaviors/responses

Question 26

**NURSING RESPONSIBILITIES** -Release restraint at minimum every ___ hours

Answer 26

2 hours

Question 27

**NURSING RESPONSIBILITIES** -Monitor patient ____

Answer 27

needs