Test 3-Chapter 14 Restraint Alternatives and Safe Restraint Use

Question 1

Every attempt is made to protect the person without _____________.

Answer 1

Every attempt is made to protect the person without using restraints.

Question 2

Why are restraints used?

Answer 2

˜as a last resort to protect persons from harming themselves or others.

Question 3

Restraints should NEVER be used to _______________.

Answer 3

Restraints should NEVER be used to discipline or punish a resident or for staff convenience.

Question 4

˜Until the late _____, restraints were thought to prevent falls.

Answer 4

˜Until the late 1980s, restraints were thought to prevent falls.

Question 5

Physical Restraint

Answer 5

any manual method or physical or mechanical device, material, or equipment attached to or near the person’s body that he or she cannot remove easily and which restricts freedom of movement or normal access to one’s body.

Question 6

Chemical Restraint

Answer 6

is any drug that is that is used for discipline or convenience and not required to treat medical symptoms

Question 7

Freedom of movement

Answer 7

•any change in place or position of the body or any part of the body that the person is physically able to control.

Question 8

Remove easily

(definition pertaining to restraints)

Answer 8

•that the manual method device, material, or equipment used to restrain the person can be removed intentionally by the person in the same manner it was applied by the staff.
•

Question 9

CMS

Answer 9

Centers for Medicare and Medicaid Services

Question 10

Complications of restraint use

Answer 10

• Injuries occur as the person tries to get free of the restraint.
• Injuries occur from using the wrong restraint, applying it wrong, or keeping it on too long.
• The most serious risk is death from strangulation.
• There are also mental effects.

Question 11

The person or legal representative must give _______ before restraints are used.

Answer 11

The person or legal representative must give consent before restraints are used.

Question 12

Safety guidelines for restraints: Observe for increased _______ and ________.

Answer 12

Safety guidelines for restraints: Observe for increased confusion and agitation.

Question 13

Safety guidelines for restraints: Protect the person’s ______________.

Answer 13

Protect the person’s quality of life

Question 14

Safety guidelines for restraints:

Follow the ____________________

Answer 14

Follow the manufacturer’s instructions

Question 15

Safety guidelines for restraints:

Observe the person at least every ___________ or more often as required by the care plan.

Answer 15

Observe the person at least every 15 minutes or more often as required by the care plan.

Question 16

Safety guidelines for restraints:

Remove the restraint, reposition the person, and meet basic needs at least every ________________.

Answer 16

Remove the restraint, reposition the person, and meet basic needs at least every

2 hours

Question 17

When using restraints what needs to be reported and recorded?

• The ____ of restraint applied
• The ____ ____ or parts restrained
• The ______ for the application
• ______ measures taken
• The time you ________ the restraint
• The time you ________ the restraint
• The person’s _____ signs
• The care given when the restraint was _______
• Skin _____ and condition
• Condition of the _____
• The _____ felt in the restrained part
• Changes in the person’s ________
• Complaints of a _____ restraint; difficulty breathing; and pain, numbness, or tingling in the restrained part (report these complaints to the nurse at once)

Answer 17

• The type of restraint applied
• The body part or parts restrained
• The reason for the application
• Safety measures taken
• The time you applied the restraint
• The time you removed the restraint
• The person’s vital signs
• The care given when the restraint was removed
• Skin color and condition
• Condition of the limbs
• The pulse felt in the restrained part
• Changes in the person’s behavior
• Complaints of a tight restraint; difficulty breathing; and pain, numbness, or tingling in the restrained part (report these complaints to the nurse at once)

Question 18

Applying restraints:

Restraints are made of ____ or ______

Answer 18

Restraints are made of cloth or leather

Question 19

On what body parts are cloth restraints used?

Answer 19

• wrists,
• ankles,
• hands,
• waist, and
• chest.

Question 20

What types of restraints are made of cloth?

Answer 20

• Mitts,
• belts,
• straps,
• jackets, and
• vests.

Question 21

On what body parts are leather restraints used?

Answer 21

Applied to the wrists and ankles.

Question 22

Why are wrist restraints used?

Answer 22

Used when a person continually tries to pull out tubes used for life-saving treatment. (intravenous infusion [IV], feeding tube)

Question 23

Why are mitt restraints used?

Answer 23

Prevent finger use.
Allow hand, wrist, and arm movements.

Question 24

Why are belt restraints used?

Answer 24

• Prevent person from getting out of bed or out of a chair.
• A roll belt allows the person to turn from side to side or sit up in bed.
• The belt is applied around the waist and secured to the bed or chair (lap belt). It is applied over a garment.

Question 25

When is a vest or jacket restraint used?

Answer 25

•to prevent injuries from falls. And they may be used for persons who need positioning for a medical treatment. The person cannot turn in bed or get out of a chair.

Question 26

˜The straps of vest and jacket restraints:

• Always cross in the ______
• Never cross in the _____
• Are always applied ____ a garment
• Have life-threatening risks

Answer 26

˜The straps of vest and jacket restraints:

• Always cross in the front
• Never cross in the back
• Are always applied over a garment
• Have life-threatening risks

Question 27

˜Never use ____ to apply a restraint. If a person is confused or agitated, ask a co-worker to help apply the restraint. Report problems to the nurse at once.

Answer 27

˜Never use force to apply a restraint. If a person is confused or agitated, ask a co-worker to help apply the restraint. Report problems to the nurse at once.