Mental Health › Suicide, Crisis & Violence · 93 questions on this topic in NurseRank, 4 free to practise now.
Practise Restraints for NORCET, RRB, ESIC, CHO and state nursing officer exams. Read the 4 sample questions below, tap Show answer and explanation to check yourself, then open the full topic practice.
Q1. The nurse is required initially to restrain all four of a patient's extremities. For what reason would the nurse anticipate the need to add a full-length restraint blanket?
The patient is at risk for injury from fighting the restraints
The staff want extra protection for themselves
The patient states that restraints are tight and uncomfortable
Staff assessment reveals that the patient will feel more secur the blanket
Show answer and explanation
Answer: A. The patient is at risk for injury from fighting the restraints
A full-length restraint blanket is added when the patient is at risk for injury from fighting the restraints. The increased degree of restriction is justified only when the risk of patient injury increases. Feeling more secure is not a sufficient cause for using a more restrictive measure. Patient statements that restraints are tight and uncomfortable require the nurse to assess the situation and adjust the restraints if necessary to ensure adequate circulation. Four-way restraints already provide adequate protection for the staff.
Q2. If the patient's anger continues to escalate to potentially violent behavior, which nursing action is most appropriate?
Go alone with the patient to a private room
Place behavioral restraints within the patient's view. 554
Ask the doctor to calm the patient
Assemble several staff members
Show answer and explanation
Answer: D. Assemble several staff members
Gathering staff is a show of force, which is sometimes all that a patient needs to realize that it is best to regain self-control. Asking a doctor to intervene implies that nurses are unable to effectively manage a disruptive patient's behavior. It is unsafe to go anywhere alone with a patient who is beyond anger and in danger of losing self- control. Displaying restraints as a means of controlling the patient's behavior is an implied threat, which is unethical.
Q3. Which statement is incorrect regarding the Federal Nursing Home Reform Act from the Omnibus Budget Reconciliation Act of 1987 (OBRA '87)?
The right to organize hospital personnel within a union
The right to be free of unnecessary chemical restraints
The right to choose a personal doctor
The right to access medical records
Show answer and explanation
Answer: A. The right to organize hospital personnel within a union
OBRA '87 provides the right for residents to organize and participate in a resident or family council. The act does not address organizing hospital personnel. The other stated rights are included in the act.
Q4. When implementing restraints, nurses should:
Assess the patient's response every 2 hours
Choose the least restrictive device
Remove the restraint every hour
Renew the doctor order for the restraints every 48 hours after evaluation
Show answer and explanation
Answer: B. Choose the least restrictive device
The nurse should choose the least restrictive device when restraining a patient. Siderails are less restrictive than arm or leg restraints. The patient's response to restraints should be assessed every hour; the restraints should be removed every 2 hours; and the doctor order for restraints should be renewed every 24 hours after evaluation.
Yes. The sample questions on this page are free, and you can practise this topic free after entering your name and mobile number. There is no OTP and no password.
Which exams do these Restraints MCQs help with?
They are useful for AIIMS NORCET, RRB, ESIC, CHO, DSSSB and state staff nurse or nursing officer exams, and for NCLEX-style practice.
