Deck 15: Restraint Alternatives and Safe Restraint Use

Question 1

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

Answer 1

Is a resident right protected by CMS

Question 2

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

Answer 2

After all other measures fail to protect the person

Question 3

Which is a restraint alternative?

A) Loud music,television,or radio.
B) Answering signal lights as soon as you are able.
C) Withholding fluids.
D) Giving back massages.

Answer 3

Giving back massages.

Question 4

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 5

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 6

Restraints are used to:

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

Question 7

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 8

Which statement about the use of restraints and seclusion is correct?

A) Any health team member can order their use.
B) They may be used only for continuous 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,a staff member,or others.
D) They must be discontinued when the physician rounds again.

Question 9

These statements are about physical restraints.Which is correct?

A) They are attached to the person's chair.
B) They are attached to the headboard of the bed.
C) The person can easily remove them.
D) They limit movement or access to one's body.

Question 10

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 11

Restraints are removed and basic needs met at least every:

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

Question 12

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 13

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 14

Unnecessary restraint is:

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

Question 15

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 16

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

Question 17

Restraints are ordered by the:

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

Question 18

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 19

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 20

These statements are about restraints.Which is correct?

A) Restraints can cause a skin decubitus.
B) The agency must report any time a person is in a restraint.
C) Restraints affect a person's dignity and self-esteem.
D) Restraints decrease confusion and agitation.

Question 21

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 22

A restraint is ordered for a patient.What restraint should you use?

A) The least restrictive device
B) The one that can be obtained the quickest
C) Mitt or wrist restraints
D) A vest or jacket restraint

Question 23

These statements are about restraints.Which is correct?

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

Question 24

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 25

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

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

Question 26

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

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

Question 27

Never use force to apply a restraint.

Question 28

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 29

Mitt restraints prevent:

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

Question 30

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

Question 31

Vest and jacket restraints are applied to the:

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

Question 32

Before applying a restraint,the person must be:

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

Question 33

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 34

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 35

Which statement about restraints is correct?

A) Any member of the health team can order a restraint to protect the person.
B) Restraints are almost always necessary with older adults.
C) Informed consent is only required when the patient has dementia.
D) The manufacturer's instructions are followed.

Question 36

Informed consent is needed for restraint use.

Question 37

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

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

Question 38

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

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

Question 39

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 40

Jacket restraints:

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