A patient was placed in restraints for 2 hours in order to help manage impulsive, destruc-tive, unsafe behavior
Which statement made by the charge nurse during a meeting to discuss the incident shows an understanding of the need to use restraints only as a last resort?
a. "How did this situation get so out of control?"
b. "You all know that restraints are used only as a last resort."
c. "Can anyone tell me why restraints were used on this patient?"
d. "Let's review what exactly happened that led to the use of restrains."
ANS: D
To facilitate an open, honest review of the incident that will permit learning to take place, the charge nurse must not place the staff on the defensive. Reviewing the events leading up to the patient being restrained in a nonaccusatory manner shows an understanding of proper re-straint use. The other options imply the nurse manager does not believe the situation was handled in an appropriate way.
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