2021 Behavioral Health Rn, Mhw, CNA Restraint Competency

9 Questions | Total Attempts: 444

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2021 Behavioral Health Rn, Mhw, CNA Restraint Competency

Directions: Complete the 2021 Behavioral Health restraint competency per this site after reviewing the Restraint policy. You must obtain an 80% or higher to pass the course. You can take the test as many times that you need to pass the course. Please place your name on the certificate to prove completion and competence and print certificate for proof of completions.


Questions and Answers
  • 1. 
    A "Restraint" is defined as (select the best choice):
    • A. 

      Any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely

    • B. 

      Any manual method, physical or mechanical device, material/equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body or head involuntarily

    • C. 

      A device used to enforce discipline

    • D. 

      None of the above are correct

  • 2. 
    Only non-violent patients, legal guardians and immediate family members will be notified of the patient's rights regarding restraints/seclusion
    • A. 

      True

    • B. 

      False

  • 3. 
    Which of the following are considered "Non-violent" forms of restraints? Select All that apply
    • A. 

      2 point soft restraint

    • B. 

      Use of 2 side rails

    • C. 

      Mittens

    • D. 

      Use of 4 side rails to restrict freedom

  • 4. 
    Which of the following are considered forms of "Violent" restraints? (Select All that apply)
    • A. 

      Schedule dose of Geodon 20 mg by mouth for behavioral control

    • B. 

      Physical Holds

    • C. 

      One time dose of Geodon 20 mg administered IM (intramuscularly)

    • D. 

      Seclusion

    • E. 

      Four point double secured TAT (Twice as toughs) restraints

  • 5. 
    Use the following Scenario to answer the next four questions: A 13 year old boy has displayed behavioral outbursts by throwing chairs and his entire meal tray at staff. Prior to this outburst staff noted increased tone/volume of speech and abrupt responses to questions as the first signs of agitation as he waited for dinner to arrive. Staff announced that dinner was a little late and encouraged him to utilize his coping skills of progressive muscle relaxation and music therapy while waiting. As dinner arrived and patient was handed his meal tray he yelled "This is not even my order." A CODE was called and other patients were asked to retreat to their rooms temporarily. When you have read this scenario: Answer yes in the box that you've read this scenario
  • 6. 
    In ensuring that safety is maintained and the least restrictive form of restraint is explored, which are the 2 best actions for the Nurse:
    • A. 

      Request an order for 4 point double secured (TAT) restraints from the Provider

    • B. 

      Requesting an order for a Physical hold from the Provider

    • C. 

      Requesting an order for Seclusion from the Provider

    • D. 

      Request a order for a chemical restraint as patient refused medications offered by mouth

  • 7. 
    What is the duration of an order for a Seclusion of this 10 year old patient?
    • A. 

      1 hour

    • B. 

      4 hours

    • C. 

      2 hours

    • D. 

      This patient cannot be placed in Seclusion due to age limit

  • 8. 
    The Nursing staff recognize that as a result of this restraint the following now apply (Select all that apply)
    • A. 

      The IPOC has to be modified to reflect this restraint

    • B. 

      The patient now requires a Constant observer

    • C. 

      The patient will remain on standard q15 minute observation

    • D. 

      An initiation of restraint/debrief note and Violent restraint Flowsheet documentation is now required

    • E. 

      An order must be placed and discontinued as appropriate for the restraint/restraints

    • F. 

      All of the above

  • 9. 
    What is the duration of an order for Chemical restraint if given to this 10 year old
    • A. 

      2 hours

    • B. 

      3 hours

    • C. 

      1 hour

    • D. 

      A chemical restraint cannot be administered to a 10 year old