An older client with dementia has been medicated with sedatives. The healthcare provider now prescribes a lower dose of the sedative and the nursing staff is concerned that the client will resume agitated behavior. What should be explained to the staff about the use of this medication?

Question

1. The client's condition warrants physical restraint only.
2. The client's physical condition does not warrant use of the drug.
3. The client's family members would be upset if they were aware of the use of chemical restraints.
4. The use of psychotropic drugs may be considered excessive and harm the client's health.

Answer 1

4. The use of psychotropic drugs may be considered excessive and harm the client's health.

Explanation: 1. The client's physical condition may warrant control of behavior, and drug therapy may still be warranted.
2. The client's physical condition may warrant control of behavior, and drug therapy may still be warranted.
3. The nursing staff must be honest with family regarding use of chemical or physical restraints as a form of treatment for the client.
4. The 1987, Omnibus Budget Reconciliation Act ruled on the appropriate use of medications in institutionalized older persons, especially as their use may constitute a chemical restraint. "Chemical restraints" may only be used to ensure the physical safety of older clients in emergency situations, but these medications have the potential to be used inappropriately to quiet a person or subdue certain behaviors in place of other nonpharmacologic measures. Overuse of psychotropic medications is of concern because of the chance of serious adverse events and syndromes associated with these medications.