Deck 14: Restraint Alternatives and Safe Restraint Use

Question 1

Restraints are ordered by the

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

Answer 1

Doctor

Question 2

The drug that makes a person sleepy and unable to function is

A)Used to treat medical symptoms
B)A chemical restraint
C)A restraint alternative
D)Part of the person's care plan

Answer 2

A chemical restraint

Question 3

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.

Answer 3

The tight sheets are restraints.

Question 4

A physical restraint

A)Allows a person access to all their body parts
B)Restricts a person's freedom of movement
C)Includes the addition of a sitter at the bedside
D)Includes any drug that is used for discipline

Question 5

Which statement about restraint alternatives 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 6

The Joint Commission forbids the use of restraints.

Question 7

Restraints are used to

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

Question 8

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 9

Informed consent is needed for restraint use.

Question 10

Which statement about restraints is incorrect?

A)Restraints can cause embarrassment,depression,and anger.
B)A report is made to the federal government if a restraint causes illness,injury,or death.
C)Restraints affect a person's dignity and self-esteem.
D)Restraints decrease confusion and agitation.

Question 11

A resident has wrist restraints.You need to check the person at least every _____ minutes.

A)5
B)10
C)15
D)20

Question 12

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 13

A resident 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 him
C)Order wrist restraints for him
D)Ask the doctor to order an ointment

Question 14

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 15

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 access to one's body.

Question 16

Restraints are used

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

Question 17

Which statement about restraints is incorrect?

A)Restraints can cause death.
B)Restraints can cause falls.
C)Every center has policies and procedures about restraint use.
D)Restraints are used for staff convenience.

Question 18

Unnecessary restraint is considered

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

Question 19

An example of a chemical restraint is a

A)Jacket restraint
B)Second caregiver sitting at the bedside
C)Pair of cloth mitts applied to the hands only
D)Drug that is used for discipline

Question 20

It is appropriate to use a small amount of force to apply a restraint.

Question 21

Restraints are removed and basic needs are met at least every

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

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
D)To the footboard or headboard

Question 23

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 24

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 25

Which statement about restraints is incorrect?

A)Any member of the health team can order a restraint to protect the resident.
B)Unnecessary restraint is false imprisonment.
C)Informed consent is required before a restraint is applied.
D)The manufacturer's instructions are followed.

Question 26

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 27

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

A)The least restrictive device
B)The one identified on the person's care plan
C)Mitt or wrist restraints
D)A vest or jacket restraint

Question 28

Jacket restraints

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

Question 29

Restraints that are too big or too loose could cause

A)Anger and mistrust
B)Strangulation
C)Skin injuries
D)Nerve injuries

Question 30

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 31

Restraints are secured

A)According to the center's policy and the manufacturer's instructions
B)Using the least restrictive method
C)With tape or rope
D)Within the person's reach

Question 32

A nurse tells you to use towels and tape to restrain a person.You should

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

Question 33

Which statement about restraints 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 34

Which is not a restraint alternative?

A)Loud music,television,or radio
B)Answering signal lights promptly
C)Meeting food,fluid,and elimination needs
D)Giving back massages

Question 35

Before applying a restraint,the person must be

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

Question 36

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

Question 37

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 38

A resident 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 39

Vest restraints

A)Open in the back
B)Cross in front
C)Cross in back
D)Open at the side

Question 40

Certain 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)All center staff

Question 41

Before applying a restraint,you should do all of the following except

A)Get the person's written consent
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

Question 42

CMS requires the reporting of any death that occurs:

A)Prior to the initiation of a restraint
B)Within 24 hours after a restraint was removed
C)Within 1 month after a restraint was removed
D)While a person was in a long-term-care facility

Question 43

Vest and jacket restraints are applied to the

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

Question 44

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

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

Question 45

A person with a restraint is given skin care least every

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

Question 46

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 47

A person with a restraint is repositioned at least every

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

Question 48

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

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

Question 49

Mitt restraints prevent

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