Oregon Certified Nursing Assistant State Practice Exam

Restraints can be applied under which condition?

1. As punishment from staff when a resident is not behaving properly

2. Only with a doctor's order

3. When a staff member does not have time to watch a resident closely

4. When a nursing assistant judges a resident is a danger to himself or others

The correct answer is: Only with a doctor's order

The use of restraints in a healthcare setting is a serious matter governed by strict guidelines to ensure the safety and well-being of residents. The correct condition for applying restraints is that it must only be done with a doctor's order. This requirement is in place to ensure that restraints are used only when absolutely necessary, and after a thorough evaluation by a healthcare professional. The physician's order acts as a safeguard, ensuring that restraints are a last resort and that there is a clear documented reason for their use. In addition, applying restraints without an appropriate medical order could lead to misuse or abuse of these devices, potentially causing harm or distress to the patient. This regulation helps to protect residents’ rights and dignity, ensuring that their freedom of movement is respected as much as possible. Other conditions presented do not meet the ethical and legal standards required for the use of restraints. For instance, using restraints as punishment or simply for convenience contradicts the principles of patient-centered care and can lead to negative physical and emotional outcomes for residents. Staff judgments regarding safety must be backed by a comprehensive assessment and medical oversight, which is why a doctor's order is essential.