Author Question: A patient was placed in restraints for 2 hours in order to help manage impulsive, destruc-tive, ... (Read 134 times)

jazziefee · **on:** Jul 19, 2018

A patient was placed in restraints for 2 hours in order to help manage impulsive, destruc-tive, unsafe behavior.

Which statement made by the charge nurse during a meeting to discuss the incident shows an understanding of the need to use restraints only as a last resort?
a. How did this situation get so out of control?
b. You all know that restraints are used only as a last resort.
c. Can anyone tell me why restraints were used on this patient?
d. Let's review what exactly happened that led to the use of restrains.

Question 2

Guidelines for communicating with a patient whose ability to speak and understand Eng-lish is questionable include (select all that apply):

a. Use interpreters whenever possible.
b. Allow sufficient time for patient to formulate response.
c. Recruit a family member as an interpreter whenever possible.
d. Use nonverbal communication whenever it is considered appropriate.
e. Maintain eye contract if such interaction is accepted by the patient's culture.

ciecieme · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
To facilitate an open, honest review of the incident that will permit learning to take place, the charge nurse must not place the staff on the defensive. Reviewing the events leading up to the patient being restrained in a nonaccusatory manner shows an understanding of proper re-straint use. The other options imply the nurse manager does not believe the situation was handled in an appropriate way.

Answer to Question 2

ANS: A, B, D, E
Interpreters are preferred to translators since they are trained to decode the message behind the patient's verbal response. The patient needs time to formulate their responses especially if they are attempting to speak in English. Nonverbal communication is a good source of infor-mation when effectively interpreted. Eye contact when accepted by the patient's culture en-courages interaction and allows for interpretation of nonverbal communication. Family mem-bers should not be used if other options are available since they are not always objective in their translations.