The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
a. The patient continues to get up from the chair at the nurses' station.
b. The patient gets restless when the sitter leaves for lunch.
c. The patient folds three washcloths over and over.
d. The patient apologizes for being "such a bother."
ANS: C
Restraint alternatives include more frequent observations, social interaction such as involvement of family during visitation, frequent reorientation, regular exercise, and the introduction of familiar and meaningful stimuli (e.g., involve in hobbies such as knitting or crocheting or looking at family photos) within the environment or folding washcloths. Getting up constantly can be cause for concern. Apologizing is not an alternative to restraints. Getting restless when the sitter leaves indicates the alternative is not working.
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