Patient RightsQuestion 5 of 200
A nurse orders a vest restraint because a resident keeps trying to get out of bed at night. Before applying it, the CNA knows that under federal restraint rules:
a.Any restraint may be used as long as a nurse orders it
b.Restraints may be used only when less restrictive interventions have been tried and failed, and only to treat a medical symptom
c.Restraints are routine fall-prevention tools for all residents over 80
d.Family verbal consent alone authorizes restraint use
Explanation
42 CFR §483.12(a)(2) prohibits restraints imposed for discipline or staff convenience and requires they be used only to treat the resident's medical symptoms after less restrictive interventions (bed alarms, low beds, frequent rounding, toileting schedule) have been tried. A physician order, documented assessment, informed consent, and ongoing monitoring are required. Routine use (c) or order-alone (a) violate the regulation; family consent (d) does not substitute for medical necessity and least-restrictive analysis.
Law Reference: 42 CFR §483.12(a)(2); CMS State Operations Manual Appendix PPPractice all 200 questions free — no signup required.
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