Oregon Certified Nursing Assistant State Practice Exam

Which of the following alternatives can help minimize the need for restraints?

1. Using medicated treatments

2. Enhancing environmental stimulation

3. Increasing resident isolation

4. Providing more scheduled activities

The correct answer is: Enhancing environmental stimulation

Enhancing environmental stimulation is a critical approach to minimizing the need for restraints. This method focuses on engaging residents with various activities, social interactions, and sensory experiences that can help reduce feelings of boredom, anxiety, or agitation. By providing a stimulating environment, residents are less likely to engage in behaviors that may lead to the need for restraints, as they are occupied and engaged with their surroundings. When residents are given opportunities for meaningful interactions and activities tailored to their interests and abilities, it can significantly reduce their restlessness and the perception of needing restraint for safety. This proactive approach aligns with best practices in patient care that prioritize the dignity and autonomy of individuals. Other options, such as medicated treatments, might help manage specific medical conditions but do not address the underlying need for mental and emotional engagement. Increasing resident isolation is counterproductive, as it can further exacerbate feelings of loneliness or anxiety, leading to a higher likelihood of behaviors that might be managed with restraints. Providing more scheduled activities can also be beneficial; however, the focus here is on enhancing the overall stimulation within the environment rather than just scheduling.