Difficulty: Medium
Average Score: 68%
Simulated
A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?
Correct answer
A
Rationale
The correct answer is A: The client must be calm and cooperative. This is because before removing physical restraints, the client must be in a calm state to ensure their safety and the safety of others. Calmness and cooperation indicate that the client is no longer a threat and is able to control their behavior.
Other choices are incorrect because:
B: The client verbalizing remorse is not a necessary criterion for removing restraints. While remorse may indicate emotional regulation, it does not guarantee safety.
C: The presence of the provider who prescribed the restraints is not a requirement for removing them. The nurse can assess the client's condition and make decisions based on their own judgment.
D: Verbalizing anger toward staff does not necessarily mean the client is still a threat. It is the behavior and current state of the client that matter.
Other choices are incorrect because:
B: The client verbalizing remorse is not a necessary criterion for removing restraints. While remorse may indicate emotional regulation, it does not guarantee safety.
C: The presence of the provider who prescribed the restraints is not a requirement for removing them. The nurse can assess the client's condition and make decisions based on their own judgment.
D: Verbalizing anger toward staff does not necessarily mean the client is still a threat. It is the behavior and current state of the client that matter.