An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury. The nurse's planned intervention to minimize the patient's risk for injury is guided by
a. the patient's right to self-determination and to be free to get out of bed.
b. an understanding that nondrug interven-tions must be tried before medications.
c. the knowledge that application of a vest restraint requires a physician's order.
d. the patient's cognitive ability to under-stand and follow directions.
B
The drug use guidelines are based on the principles that certain problems can be handled with nondrug interventions and that such forms of treatment must be ruled out before drug therapy is initiated. The patient does have the right to self-determination, but the staff must ensure the pa-tient's safety. Vest restraints do require an order, but environmental measures must be tried be-fore chemical or physical restraints. The patient's cognitive abilities do not allow for unjustified physical or chemical restraints.
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