The Certified Nursing Assistant (CNA) Places a Confused, Weak Patient

The certified nursing assistant (CNA) places a confused, weak patient in a wheelchair and applies a vest protective device. The nurse should instruct the CNA to: (Select all that apply.)

A) secure the ties in the front to prevent the patient from falling.
B) secure the ties in the back to prevent the patient from falling.
C) use a double knot to prevent the patient from undoing the tie.
D) use a half bow knot to secure the device to a chair.
E) provide passive range of motion to the upper extremities as needed.