Registered Practical Nurse (RPN) Practice Test

Under what circumstances should seclusion and restraint be used as interventions?

1. As a routine measure

2. When the patient requests it

3. As a last resort

4. During regular assessments

The correct answer is: As a last resort

Seclusion and restraint should be utilized only as a last resort when less restrictive alternatives have been deemed insufficient to ensure the safety of the patient or others. These interventions are often associated with significant risks, including physical injury and psychological trauma, thus they should avoid being routine measures or used as a first line intervention. Using seclusion and restraint without exhausting all other options can contribute to negative outcomes for the patient, including a feeling of powerlessness and distress. It's critical to prioritize de-escalation techniques, verbal interventions, and supportive therapies before considering these methods. In instances where a patient may request seclusion or restraint, their request should be carefully assessed; often, it may not be in their best interest from a mental health perspective. Regular assessments are essential for monitoring a patient’s condition, but they should not be used as a justification for implementing such interventions. Therefore, applying seclusion and restraint must be approached with caution, ensuring they are truly the last means to protect the patient and others.