NUR 242 EXAM 6 | QUESTIONS AND
ANSWERS | 2026 UPDATE | 100%
CORRECT
What are some indications for restraints? (6) - ANSWER>- the patient is exhibiting unnecessary or unwanted
movement that is considered unsafe
- the patient is attempting to remove needed medical items
- the restraints can provide safety and security for a client undergoing a procedure, both before and during the
procedure
- the patient is aggressive or combative
- the patient is a danger to self or to others
- other alternatives have been exhausted, and the delay in applying the restraint could potentially cause significant
injury or damage
What are the 5 types of restraints? - ANSWER>- physical
- mechanical
- chemical
,- barrier
- seclusion
physical restraint - ANSWER>manually holding or immobilizing a patient
- appropriate for very short term or immediate need
- can cause harm to patient (fractures/bruises)
mechanical restraints - ANSWER>materials, straps, or fabric devices
wrist, elbow, or ankle can be fastened
includes belt restraints
What is the least restrictive mechanical restraint? - ANSWER>hand mits
four-point extremity restraints - ANSWER>most restrictive restraint and are usually recommended for clients who
are aggressive and behaving dangerously
,What are 3 important things when fastening restraints? - ANSWER>- tie to bed frame (never to the side rail
- tie out of reach of the patient
- tie a quick release tie
chemical restraint - ANSWER>administration of medications to a patient to reduce movement or control behavior
be sure to monitor effects of these medications
barrier restraint - ANSWER>restraining movement through the use of barriers like a concave mattress, lapboard for
a chair, bed enclosures, or having all 4 bed rails up
seclusion - ANSWER>environmental restraint
placing patient alone in a locked room without their consent
typically used in inpatient psychiatric facilities
, List risks of using restraints (7): - ANSWER>- bruising
- abrasions
- fractures
- dislocations
- numbness or tingling
- strangulation
- death
What should be done for pre-seizure clients? - ANSWER>- place suction equipment at bedside
- place oxygen at bedside
- obtain baseline vitals
- have 2 available IV sites
- padded siderails
- remove constrictive jewelry or clothing
- ask patient if they "have a feeling" that they will have a seizure
ANSWERS | 2026 UPDATE | 100%
CORRECT
What are some indications for restraints? (6) - ANSWER>- the patient is exhibiting unnecessary or unwanted
movement that is considered unsafe
- the patient is attempting to remove needed medical items
- the restraints can provide safety and security for a client undergoing a procedure, both before and during the
procedure
- the patient is aggressive or combative
- the patient is a danger to self or to others
- other alternatives have been exhausted, and the delay in applying the restraint could potentially cause significant
injury or damage
What are the 5 types of restraints? - ANSWER>- physical
- mechanical
- chemical
,- barrier
- seclusion
physical restraint - ANSWER>manually holding or immobilizing a patient
- appropriate for very short term or immediate need
- can cause harm to patient (fractures/bruises)
mechanical restraints - ANSWER>materials, straps, or fabric devices
wrist, elbow, or ankle can be fastened
includes belt restraints
What is the least restrictive mechanical restraint? - ANSWER>hand mits
four-point extremity restraints - ANSWER>most restrictive restraint and are usually recommended for clients who
are aggressive and behaving dangerously
,What are 3 important things when fastening restraints? - ANSWER>- tie to bed frame (never to the side rail
- tie out of reach of the patient
- tie a quick release tie
chemical restraint - ANSWER>administration of medications to a patient to reduce movement or control behavior
be sure to monitor effects of these medications
barrier restraint - ANSWER>restraining movement through the use of barriers like a concave mattress, lapboard for
a chair, bed enclosures, or having all 4 bed rails up
seclusion - ANSWER>environmental restraint
placing patient alone in a locked room without their consent
typically used in inpatient psychiatric facilities
, List risks of using restraints (7): - ANSWER>- bruising
- abrasions
- fractures
- dislocations
- numbness or tingling
- strangulation
- death
What should be done for pre-seizure clients? - ANSWER>- place suction equipment at bedside
- place oxygen at bedside
- obtain baseline vitals
- have 2 available IV sites
- padded siderails
- remove constrictive jewelry or clothing
- ask patient if they "have a feeling" that they will have a seizure
