A patient remains physically aggressive despite verbal de-escalation, and staff cannot maintain safety. When restraint is authorized, which action is essential?
Correct answer: C. Monitor circulation, breathing, behaviour, and ongoing need
- A. Apply restraints and leave the patient unobserved
- B. Use the most restrictive method for the entire shift
- C. Monitor circulation, breathing, behaviour, and ongoing need
- D. Remove all restraints only after the patient falls asleep
Explanation
Restraint is a last resort and requires continuous assessment of airway, breathing, circulation, mental status, and whether it remains necessary. It should be the least restrictive safe intervention and must not replace observation or reassessment.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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40 free Psychiatric Emergencies MCQs from Mental Health Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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