The Joint Commission restricts the use of restraints to the least restrictive device necessary to prevent disruption of needed care. The order for restraints must include which of the following? (Select all that apply.)
a. Type
b. Duration
c. Purpose
d. Location
e. Size
A, B, C, D
Order must include purpose, type, location, and time or duration of restraint. Long-term care set-tings require informed consent from a family member prior to use. Orders may be renewed ac-cording to the time limits for a maximum of 24 consecutive hours. Size is determined by the nurse's judgment.
You might also like to view...
Which group of muscles is involved with joint stabilization?
a. Skeletal muscles b. Antigravity muscles c. Synergistic muscles d. Antagonistic muscles
The nurse is making a home visit to an elderly client. Which of the following would be the most appropriate regarding this client's medications?
a. Ask the client to name all the drugs he is currently taking. b. Determine which pharmacy dispenses the medications. c. Have the client provide all the medications he is currently taking, both prescription and over the counter. d. Recommend that all containers be childproof.
Deductive reasoning is the process of:
A) Verifying assumptions that are part of our heritage B) Developing specific predictions from general principles C) Empirically testing observations that are made known through our senses D) Forming generalizations from specific observations
A patient with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should:
a. encourage the patient to express anger. b. provide care in a matter-of-fact manner. c. be very kind, sympathetic, and concerned. d. offer to listen to the patient's feelings about cutting.