Physical and chemical restraints are appropriately used when ...

[Garrulous]

Physical and chemical restraints are appropriately used when
 
  a. All other treatments or interventions have been unsuccessful in promoting resident safety and health
  b. The physician orders the physical or chemical restraint
  c. The resident has a chronic mental illness that has significantly compromised his or her ability to follow directions during care
  d. The resident refuses to participate in his or her care

Question 2

When Mrs. Grace is returned to her unit, Beth, the LPN assistant director of nurses, comes to review the situation. She gathers the staff together for group feedback on how to prevent this from happening again.
 
  A subcommittee of team members is formed to implement specific recommendations. This is an example of what type of management?
  a. Laissez-faire
  b. Democratic
  c. Authoritarian
  d. Permissive

[elizabethrperez]

Answer to Question 1

A
Response A is the best answer. The Health Care Financing Administration requires that nonrestrictive measures be attempted and documented as unsuccessful before the use of chemical or physical restraints. Responses B, C, and D are incorrect. Even if a physician orders a restraint, the nurse is responsible for documenting the use of less restrictive means to manage the behavior before a restraint is used. The criterion of providing the least restrictive environment was designed to advocate for residents with altered thought processes and to ensure that they maintained their right to choose treatment options.

Answer to Question 2

B
Democratic managers have a strong sense of team. This manager uses the team to gather, assess, and implement change. Although this process may take a great deal of time and energy, it works well in geriatric environments because it is people-focused.

[Garrulous]

TYSM

[samiel-sayed]

Excellent