When can a nurse detain a client by using restraints?
a. Staffing resources are insufficient to monitor a patient with hemiplegia.
b. The client is confused.
c. The family requests the restraints to prevent the client from leaving the facility.
d. There are current physician orders following a medical evaluation.
ANS: D
Correct: A written physician's order that is timed and dated is required for the use of restraints. Renewal of orders must be accompanied by evidence of medical evaluation and nursing reassessment.
Incorrect:
a. Clients may not be restrained physically or chemically because there is not enough staff to properly monitor them.
b. A confused client does not require the use restraints to be kept safe. Other less restrictive strategies should first be used to provide safety for the confused client.
c. The family's wishes for restraints must be substantiated by a physician's order.
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