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WorksheetsRestraint Use in Healthcare
Total questions: 11
Worksheet time: 6mins
What is the MAIN purpose of restraints in healthcare?
To punish unsafe behavior
To protect the patient and others from immediate harm
To reduce staff workload
To keep patients from calling for help
Which is an example of wrongful restraint use?
To prevent a confused patient from pulling out a ventilator tube
To keep a violent patient from hitting staff after all alternatives failed
To keep a patient in bed because the unit is short-staffed
To stop a delirious patient from pulling a central line
Which of the following is a physical restraint?
Seclusion room
Wrist or mitten restraints
Haldol IM
Locked behavioral health unit
Which best describes an environmental restraint?
Giving IM lorazepam
Applying ankle restraints
Using a locked unit or seclusion room
Using soft mitts on both hands
The “B52” chemical restraint usually includes which combination?
Haldol, lorazepam, diphenhydramine
Haldol, morphine, diphenhydramine
Lorazepam, midazolam, haloperidol
Diphenhydramine, fentanyl, lorazepam
Before applying restraints, the nurse should FIRST:
Apply restraints and then call the provider
Try least-restrictive alternatives such as reorientation and de-escalation
Ask the family to sign a consent form
Turn off the bed alarm
According to UMC policy, how often must the nurse document neurovascular checks (circulation, sensation, movement, cap refill) on a restrained patient?
Every 30 minutes
Every hour
Every 2 hours
Once per shift
What is REQUIRED before applying medical restraints at UMC or Rio Vista?
Verbal approval from any nurse
A time-limited provider order renewed every 24 hours
Charge nurse approval only
Family permission only
In the UMC Cath Lab, positioning straps and devices are considered:
Chemical restraints
Physical restraints
Punitive restraints
Procedural positioning devices, not true restraints
Which scenario is the most appropriate use of restraints?
An anxious patient who keeps calling the nurse frequently
A confused patient repeatedly pulling out their central line despite reorientation, sitter, and diversion
A stable patient who refuses to stay in bed
A patient who is angry about their food and yelling
Which statement BEST describes the purpose of restraints AND includes an example of wrongful restraint use?
Restraints are used to control disruptive patients for staff convenience; placing wrist restraints on a confused patient who keeps calling out is appropriate.
Restraints protect patients and others from immediate harm after least-restrictive measures fail; using restraints as punishment or for staff convenience is wrongful.
Restraints are primarily used to prevent falls; applying a vest restraint to any high-fall-risk patient is standard and not wrongful.
Restraints are used whenever a patient refuses treatment; giving a sedative to make a patient sleep is always an acceptable chemical restraint.
