A patient is being restrained after biting himself and members of the nursing staff. An appropriate response from the nurse would be:
a. "You have been restrained because you are violent and the staff is unable to deal with you. Until you regain control, we will do our best to make you comfortable and keep you safe.".
b. "You are being restrained because you have been biting yourself and others. Let the staff know if the restraints are uncomfortable. You will be released when you are able to again control your behavior.".
c. "Your thinking is making you violently uncontrollable, and in addition you're trying to bite us. We do not like having to restrain you but it is necessary until you are more in control. We hope to release you soon.".
d. "I know this feels terrible to you, but you are so violent that you may hurt yourself, the staff, and other patients. We won't keep you restrained for long, just long enough for you to regain control of your behavior.".
B
There is no easy way to discuss the use of restraints with a patient who is currently violent. It is important to explain in a nonjudgmental way why restraint is being employed and to open up an avenue of communication so staff members can ensure the patient's optimal well-being during the period of restraint.
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