Mental HealthQuestion 134 of 200

A resident with dementia repeatedly wanders out of her room and into other residents' rooms. The MOST appropriate first response is to:

a.Apply a vest restraint to keep her in bed
b.Gently redirect her, walk with her, and engage her in a familiar activity, then notify the nurse to update the care plan
c.Lock her room door from the outside
d.Place her in a wheelchair with the tray locked in front to prevent her standing up

Explanation

Wandering is common in dementia and is best managed with redirection, supervised walking, scheduled activity, environmental cues (clear signage, safe walking paths), and care-plan review. Restraints (a, d) without medical necessity and informed consent constitute false imprisonment and abuse under 42 CFR §483.12 and 42 CFR §483.10(e) (right to be free from restraints). Locking residents in (c) is also unlawful restraint. The CNA reports patterns so the IDT can identify triggers (boredom, pain, toileting needs) and adjust the plan.

Law Reference: 42 CFR §483.10; 42 CFR §483.12

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