Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 7

Which nursing actions would demonstrate the nurse's understanding of the concept of providing safe care without using restraints (select all that apply)?
A) Placing patients with fall risk in low beds.
B) Asking simple yes-or-no questions to clarify patient needs.
C) Making hourly rounds on patients to assess for pain and toileting needs.
D) Placing a disruptive patient near the nurses' station in a chair with a seat belt.
E) Applying a jacket vest loosely so the patient can turn but cannot climb out of bed.