An Older Adult Resident of a Long-Term Care Nursing Facility

An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury.The nurse's planned interventions to minimize the client's risk for injury is guided by:

A) the client's right to a self-determination.
B) an understanding that nondrug interventions must be ineffective before administering a PRN sedative.
C) the knowledge that application of a vest restraint requires a physician's order.
D) the client's cognitive ability to understand and follow directions.