Oregon Certified Nursing Assistant State Practice Exam

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Which of the following statements is true of restraint usage?

  1. People tend to respond better to restraint alternatives than to restraints

  2. Laws allow the use of restraints when a facility is short-staffed

  3. Using restraints does not cause negative effects

  4. Restraint-free care means a facility uses restraints only for disciplining residents

The correct answer is: People tend to respond better to restraint alternatives than to restraints

The statement indicating that people tend to respond better to restraint alternatives than to restraints is accurate because research and practice in nursing and rehabilitation emphasize the importance of promoting the dignity and autonomy of individuals in care settings. Restraints can lead to various negative consequences, such as physical discomfort, psychological distress, and a loss of autonomy. Alternatives to restraints, such as increased supervision, environmental modifications, or engaging activities, can help reduce the need for restraints while simultaneously better addressing a person’s needs and preferences. By focusing on less restrictive approaches, facilities can create an environment that enhances the overall well-being of residents. These alternatives typically foster more positive interactions and outcomes, demonstrating that residents respond better when their dignity is preserved and when they are engaged in their care rather than feeling constrained or confined. This underscores a fundamental principle in patient care: prioritizing the individual's rights and preferences leads to better responses and outcomes.