Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

What nursing action should be avoided for a confused older patient at risk of climbing out of bed?

1. Moving the patient to a room in view of the nursing station.

2. Using a patient bed alarm.

3. Placing the patient in physical restraints.

4. Having a sitter stay with the patient.

The correct answer is: Placing the patient in physical restraints.

Placing the patient in physical restraints should be avoided primarily because it can lead to a range of negative consequences for both the patient and the healthcare environment. Restraints can increase the risk of physical injuries, such as bruising or skin breakdown, and can also lead to psychological distress, agitation, or a feeling of loss of dignity for the patient. Moreover, using restraints can have legal and ethical implications, as they may violate the patient’s rights if the restraints are not deemed absolutely necessary or are used without proper justification. In contrast, moving the patient to a more supervised area, using a bed alarm, or having a sitter with the patient are all proactive measures that promote safety while maintaining the patient's dignity and autonomy. These alternatives also focus on observation and offer a less restrictive approach, which aligns with best practices in patient care, particularly for older adults who may experience confusion.