A nurse is assessing a client who is in mechanical restraints after hitting a staff member. Which of the following findings indicates that the nurse should discontinue the restraints?

The correct answer is C: The client is able to calmly follow commands. This indicates that the client is able to control their behavior and is no longer a danger to themselves or others. Discontinuing restraints at this point is appropriate to promote the client's autonomy and dignity. Choice A is incorrect as the duration of restraint alone does not determine when to discontinue. Choice B, while important for understanding the client's behavior, does not directly indicate readiness to discontinue restraints. Choice D is concerning and should be addressed but does not solely warrant discontinuation of restraints.