Author Question: Physical restraints may be used for all of the following reasons except to a. Prevent injury ... (Read 51 times)

saraeharris · **on:** Jul 11, 2018

Physical restraints may be used for all of the following reasons except to

a. Prevent injury secondary to a fall
b. Prevent wandering
c. Keep the client from pulling on tubes
d. Prevent the client from masturbating

Question 2

Mavis Anderson, 76 years old, has been diagnosed with early-onset Alzheimer's disease. Male residents complain that she has been coming into their rooms, crawling into bed with them, and fondling their genital areas.

What does the nurse need to consider in developing nursing interventions to deal with this behavior?
a. Ms. Anderson's right to express her sexual feelings
b. The rights of long-term care residents to have opportunities to express their sexual needs and sexual behaviors
c. Whether the problem is the staff's attitude toward sexual expression or Ms. Anderson's behavior
d. Whether Ms. Anderson's behavior may demonstrate a need for affection and touch

smrtceo · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
The main reasons are A, B, and C. Response D is not a viable, reasonable use of restraints.

Answer to Question 2

D
Responses A, B, and C address areas that nurses need to consider when designing care that is sensitive to the needs of long-term care residents. They also need to take into consideration that Ms. Anderson's behavior has violated the rights of other residents. Response D explores the possible cause of the behavior and would lead to development of nursing interventions with Ms. Anderson that could meet a need for affection and touch. This would decrease the need for Ms. Anderson to try to meet these needs with other residents.