Seclusion and Restraints, Flashcards

1
Q

What is the primary purpose of using seclusion in a healthcare setting?

A

To ensure the safety of the patient and others when less restrictive measures are ineffective.

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2
Q

True or False: Restraints are used as a first-line intervention for managing patient behavior.

A

False

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3
Q

Name one reason for the use of restraints in patient care.

A

To prevent a patient from harming themselves or others.

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4
Q

What is a key nursing responsibility when using restraints?

A

To monitor the patient’s physical and psychological well-being.

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5
Q

Fill in the blank: Documentation of restraint use must include the ______ for the intervention.

A

reason

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6
Q

What legal considerations must be taken into account when using seclusion or restraints?

A

Informed consent and adherence to institutional policies.

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7
Q

True or False: The use of restraints can be justified based solely on a patient’s history of aggressive behavior.

A

False

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8
Q

What should be done immediately after a patient is placed in restraints?

A

Conduct a thorough assessment and ensure proper documentation.

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9
Q

What type of documentation is required after the use of restraints?

A

Detailed records of the patient’s behavior, the type of restraint used, and the duration.

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10
Q

List one alternative to restraints.

A

De-escalation techniques.

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11
Q

What is the maximum duration a patient can be restrained without reassessment?

A

This varies by institution but often is every 2 hours.

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12
Q

True or False: Restraints should be applied in a manner that restricts the least amount of movement necessary.

A

True

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13
Q

Fill in the blank: Seclusion is defined as the involuntary ______ of a patient in a room or area.

A

isolation

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14
Q

What must nurses do to ensure ethical use of restraints?

A

Follow guidelines and ensure that restraints are the last resort.

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15
Q

What is one potential consequence of improper restraint use?

A

Injury to the patient or legal repercussions for the healthcare facility.

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16
Q

True or False: All staff members are authorized to apply restraints.

A

False

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17
Q

What should be included in the patient’s care plan regarding restraints?

A

Specific criteria for use and plans for regular review.

18
Q

What is the role of the healthcare team in the decision to use restraints?

A

To collaboratively assess the patient’s needs and determine the least restrictive option.

19
Q

Fill in the blank: Restraints should be removed as soon as ______.

20
Q

What is an important aspect of patient rights concerning restraints?

A

Patients have the right to be informed about the use of restraints.

21
Q

Name a type of physical restraint.

A

Wrist restraints.

22
Q

True or False: Restraints can be used for the convenience of staff.

23
Q

What must nurses document regarding the patient’s response to restraints?

A

The patient’s comfort level and any adverse reactions.

24
Q

Fill in the blank: The use of restraints must be ______ and justified in the patient’s record.

A

documented

25
What is a common misconception about the use of restraints?
That they are always necessary for managing difficult patients.
26
What is the primary ethical principle guiding the use of restraints?
To do no harm.
27
True or False: Seclusion can be used as a punishment for non-compliance.
False
28
What is one reason a healthcare facility might implement a restraint policy?
To protect patients and staff from potential harm.
29
What should be assessed regularly when a patient is in restraints?
Circulation, skin integrity, and psychological status.
30
Fill in the blank: The healthcare provider must obtain ______ for the use of restraints.
a physician's order
31
What is one key factor in determining the appropriateness of restraints?
The patient's behavior and the risk of harm.
32
True or False: Restraints can be used to manage a patient's agitation without any prior interventions.
False
33
What is the consequence of failing to follow proper restraint protocols?
Potential legal action and harm to the patient.
34
What should nurses prioritize when caring for a patient in restraints?
Patient safety and dignity.
35
What is one method of evaluating the need for ongoing restraint use?
Regular multidisciplinary team meetings.
36
Fill in the blank: The goal of using restraints is to provide a safe environment while promoting ______.
patient autonomy
37
What should be included in staff training regarding restraint use?
Policies, procedures, and alternative interventions.
38
True or False: Only physical restraints can be used in a healthcare setting.
False
39
What is an example of a chemical restraint?
Sedative medications used to manage agitation.
40
What should a nurse do if a patient expresses discomfort while restrained?
Reassess the restraints and address the patient's concerns immediately.