A confused patient frequently calls out for "help" throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?
1. Move the call bell out of the patient's reach.
2. Continue to respond and attempt to reorient the patient.
3. Restrain the patient in soft wrist restraints.
4. Chemically restrain the patient with a mild sedative.
2
Rationale: The nurse should try other methods of caring for the patient, prior to using either physical or chemical restraints. Since there is no indication that this patient is in danger of getting out of bed or otherwise getting injured, the correct answer is to keep attempting reorientation. Moving the call bell out of the patient's reach is dangerous. Restraints should never be used for the convenience of the staff.
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