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Patient Safety

What is an appropriate alternative to using a restraint?

From CNA Mobility Skill Questions pdf

Answer choices

  1. A Keeping a client in bed
  2. B Placing a client in a chair with a tray
  3. C Using a bed alarm
  4. D Locking the wheelchair

Correct answer: C. Using a bed alarm

Clinical Rationale

Using a bed alarm is an appropriate alternative to using a restraint.

Bed alarms can alert caregivers when a client attempts to get out of bed, thereby providing safety without the physical restriction of restraints. This method promotes patient autonomy while still ensuring their well-being.

A) Keeping a client in bed

This option essentially confines the client to their bed, which may not only limit their mobility and independence but also may lead to issues like bedsores or decreased muscle strength. Keeping a client in bed does not provide a supportive or therapeutic environment and can be considered a form of restraint itself.

B) Placing a client in a chair with a tray

While this option allows for some mobility, it can also restrict the client's ability to move freely. Depending on the design and setup, a tray may serve to limit the client's movement rather than encourage independence. It does not offer the same level of safety monitoring as a bed alarm.

D) Locking the wheelchair

Locking a wheelchair prevents the client from moving independently, which can be detrimental to their physical and psychological well-being. This action effectively serves as a restraint and does not promote autonomy or safety in the same way that a bed alarm does.

Conclusion

Utilizing a bed alarm stands out as the most appropriate alternative to restraints, as it ensures client safety while allowing for freedom of movement. The other options, while potentially safer than physical restraints, still impose limitations on the client's independence. Emphasizing alternatives like bed alarms can enhance patient care by balancing safety and autonomy.

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