The nurse assesses that the patient may need a restraint and recognizes which one of the following?
a. An order for a restraint may be implemented indefinitely until it is no longer required by the patient.
b. Restraints may be ordered on an as-needed basis.
c. No order or consent is necessary for restraints in long-term care facilities.
d. Restraints are to be periodically removed to have the patient re-evaluated.
D
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A It is not true that an order for a restraint may be implemented indefinitely until it is no longer required by the patient. A physician's order for restraints must have a limited time frame. If the orders are renewed, this should be done within a specified time frame according to the agency's policy.
B Restraints are not to be ordered prn (as needed).
C The use of restraints must be part of the patient's medical treatment and must be ordered according to provincial or territorial legislation and agency policy. In some settings, physicians and nurses may order restraints.
D Restraints must be periodically removed, and the nurse must assess the patient to determine if the restraints continue to be needed.
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