Physical and chemical restraints are appropriately used when
a. All other treatments or interventions have been unsuccessful in promoting resident safety and health
b. The physician orders the physical or chemical restraint
c. The resident has a chronic mental illness that has significantly compromised his or her ability to follow directions during care
d. The resident refuses to participate in his or her care
A
Response A is the best answer. The Health Care Financing Administration requires that nonrestrictive measures be attempted and documented as unsuccessful before the use of chemical or physical restraints. Responses B, C, and D are incorrect. Even if a physician orders a restraint, the nurse is responsible for documenting the use of less restrictive means to manage the behavior before a restraint is used. The criterion of providing the least restrictive environment was designed to advocate for residents with altered thought processes and to ensure that they maintained their right to choose treatment options.
You might also like to view...
A characteristic of diastolic dysfunction is
A) ejection fraction less than 20%. B) atrial fibrillation. C) diastolic blood pressure less than 50 mm Hg. D) All of the above are correct.
Which of the following statements best describes an unfortunate consequence of using diagnosis-related groups (DRGs) to determine reimbursement? (Select all that apply.)
a. Insurance companies had to greatly increase their funding from employers. b. The incentive was to undertreat and underuse health resources. c. Health care providers had to accept losses for each patient treated. d. Health care providers learned to cheat the system. e. Health care providers refused to accept more patients whose reimbursement was based on DRGs. f. High quality of care was no longer assured.
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to her questions
The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as __________ syndrome. Fill in the blank(s) with correct word
A client receiving an oral nystatin suspension for a candida infection tells the nurse that he cannot continue to "swish and swallow" because his nausea is too great. What should be the nurse's response?
A. "I will ask your healthcare provider if a pill form can be substituted." B. "Try having a carbonated drink after you swallow the prescription." C. "You can swish the prescription around and then spit it out." D. "I will request an antiemetic to be prescribed for you."