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Exam NCLEX-PN topic 5 question 6 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 6
Topic #: 5
[All NCLEX-PN Questions]

Which of the following statements describes the purpose of client restraint?

  • A. Restraints are a nursing measure used to maintain client control.
  • B. Restraints are an emergency intervention taken as a last resort to protect a client from imminent danger.
  • C. Restraints are a therapeutic measure designed to positively reinforce client behavior.
  • D. Restraints are an emergency measure that can only be taken by a nurse under the direct supervision of a physician.
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Suggested Answer: B 🗳️
The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physicians order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider. Safety and Infection Control

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