The most important factor in successfully initiating a ...

[LaDunn]

The most important factor in successfully initiating a restraint-free environment is
 
  a. Providing in-service training of nursing staff about restraint policies and procedures
  b. Educating the residents and families regarding restraint-free principles
  c. Reviewing the Patient's Bill of Rights with the whole staff so that they understand the right of the resident to choose to be unre-strained
  d. Discussing safer methods of restraining residents

Question 2

Open questioning with older adults experiencing loss is useful because the technique
 
  a. Encourages suppression of nonproductive thoughts related to the loss
  b. Encourages older adults to express feelings and thoughts related to loss
  c. Helps the older adult move out of the anger stage of grieving a loss
  d. Stimulates the productive resolution of the grieving process related to a loss

[LegendaryAnswers]

Answer to Question 1

C
Education is important to support the staff's understanding of the philosophy behind releasing restraints. Responses A, B, and D are components of initiating change but are less successful if the staff, residents, and families do not understand the underlying philosophy of restraint-free environments.

Answer to Question 2

B
Response B correctly identifies the use of open questioning to help older adults express their feelings. Response A is incorrect. Open questioning should give older adults an opportunity to express thoughts without judgment of their productivity in resolving the loss. Responses C and D are incorrect because open questioning does not miraculously resolve grieving issues; rather, it allows the older adult an opportunity to express his or her feelings.

[LaDunn]

Excellent

[chereeb]

TYSM