State Tested Nursing Assistant (STNA) Practice Exam

What is the most appropriate response if a resident frequently attempts to remove their restraints?

1. Notify the doctor

2. Ignore the behavior

3. Apply a tighter restraint

4. Discuss the situation with the nursing staff

The correct answer is: Notify the doctor

The most appropriate response when a resident frequently attempts to remove their restraints is to discuss the situation with the nursing staff. This action is essential because it ensures that the resident's safety and well-being are prioritized. Communication among the staff can help determine whether the restraints are necessary or if alternative approaches should be considered. Involving the nursing staff may lead to a reassessment of the resident's condition or behavior that necessitated the restraints in the first place. It also allows for collaboration on how to best support the resident, potentially identifying causes for their distress or attempts to remove the restraints and addressing those issues effectively. Encouraging teamwork in these scenarios not only adheres to proper protocol but also promotes a person-centered approach to care. While notifying the doctor could be a part of addressing the issue, it is crucial to first have an internal discussion. Ignoring the behavior can lead to further distress or potential injury for the resident, and applying a tighter restraint can be harmful and unethical. Therefore, discussing the situation with the nursing staff is a vital step in managing restraints appropriately.