A nurse is deciding whether to use a restrictive intervention for a confused patient who repeatedly enters other patients’ rooms. Which principle should guide the decision?
Correct answer: B. Choose the least restrictive safe alternative
- A. Use the most restrictive measure first
- B. Choose the least restrictive safe alternative
- C. Use restraint whenever behavior is inconvenient
- D. Ask the patient’s family to decide without assessment
Explanation
Safety measures should use the least restrictive effective alternative and should be individualized to the patient’s assessed risk. Restrictive interventions are not appropriate merely because behavior is difficult or inconvenient.
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About Foundations of Mental Health Nursing
Mental health nursing covers concepts of normal and abnormal behavior, major psychological theories, psychiatric assessment, the nurse’s therapeutic role, and the use of a safe therapeutic milieu. It also includes confidentiality, informed consent, patient rights, ethical decision-making, legal responsibilities, and individualized nursing care planning.
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