Restraint Quiz: Do You Know The Legal Rules?

1. A patient's legal right to refuse restraints exists except when:

Patient poses imminent danger to self or others

Patient requests comfort measures

Patient has anxiety

Patient is elderly

2. Which is the least restrictive intervention before considering restraints?

Environmental modification and behavioral strategies

Immediate physical restraint

Chemical sedation

Isolation in a private room

3. True or False: Restraint use & safety requires reassessment and reordering every shift.

True

False

4. The most common legal issue in restraint use litigation involves:

Inadequate monitoring and documentation

Type of restraint material

Shift change timing

Patient room location

5. A nurse must obtain informed consent before restraint application when:

Patient is competent and time permits

Never required

Only for chemical restraints

Only for elderly patients

6. True or False: Bed rails alone are considered restraints under most regulations.

True

False

7. Which assessment finding requires immediate removal of restraints?

Cyanosis, numbness, or skin breakdown

Patient discomfort

Mild edema

Patient requesting removal

8. In an emergency, a nurse applies a restraint without an order. What must happen within the required timeframe?

Physician order obtained within 1 hour

Physician order obtained within 4 hours

Family notification only

No order needed if documented

9. The primary ethical principle violated by unnecessary restraint is:

Autonomy

Beneficence

Non-maleficence

Justice

10. True or False: Restraint use & safety protocols are identical across all states.

True

False

11. Which federal regulation primarily governs restraint use in healthcare facilities?

The Joint Commission standards

State nursing practice acts only

CMS Conditions of Participation and state laws

Hospital policy alone

12. Which complication is a serious risk of prolonged restraint use?

Pressure ulcers and rhabdomyolysis

Temporary muscle soreness

Mild anxiety

Increased appetite

13. What must occur before applying any restraint in a non-emergency situation?

Written physician order

Verbal order only

Nursing decision alone

Family consent

14. True or False: Restraints can be used as punishment for non-compliance.

True

False

15. A patient in restraints must be monitored for circulation and skin integrity at minimum every:

30 minutes

1 hour

2 hours

4 hours

16. Which organization sets standards for restraint use in acute care hospitals?

The Joint Commission (TJC)

American Medical Association

State Board of Nursing

National Patient Safety Foundation

17. True or False: Chemical restraints (sedatives) do not require the same documentation as physical restraints.

True

False

18. Documentation of restraint use must include which of the following?

Reason, time applied, and assessment intervals

Patient name and room number only

Physician name and signature only

Type of restraint material used

19. What is the maximum time a restraint can remain in place without physician reassessment?

2 hours for adults

4 hours for adults

8 hours for adults

12 hours for adults

20. A restraint can be applied without a physician order only in which situation?

Immediate danger to self or others

Patient anxiety or agitation

Routine post-operative care

Patient refusal of medications

Restraint Quiz: Do You Know the Legal Rules?

1. A patient's legal right to refuse restraints exists except when:

2.

What first name or nickname would you like us to use?

2. Which is the least restrictive intervention before considering restraints?

3. True or False: Restraint use & safety requires reassessment and reordering every shift.

4. The most common legal issue in restraint use litigation involves:

5. A nurse must obtain informed consent before restraint application when:

6. True or False: Bed rails alone are considered restraints under most regulations.

7. Which assessment finding requires immediate removal of restraints?

8. In an emergency, a nurse applies a restraint without an order. What must happen within the required timeframe?

9. The primary ethical principle violated by unnecessary restraint is:

10. True or False: Restraint use & safety protocols are identical across all states.

11. Which federal regulation primarily governs restraint use in healthcare facilities?

12. Which complication is a serious risk of prolonged restraint use?

13. What must occur before applying any restraint in a non-emergency situation?

14. True or False: Restraints can be used as punishment for non-compliance.

15. A patient in restraints must be monitored for circulation and skin integrity at minimum every:

16. Which organization sets standards for restraint use in acute care hospitals?

17. True or False: Chemical restraints (sedatives) do not require the same documentation as physical restraints.

18. Documentation of restraint use must include which of the following?

19. What is the maximum time a restraint can remain in place without physician reassessment?

20. A restraint can be applied without a physician order only in which situation?