Registered Practical Nurse (RPN) Practice Test

What is required for the use of physical restraints on an individual who poses a danger to others?

1. Nurse's discretion

2. Physician order

3. Parliament approval

4. Patient consent

The correct answer is: Physician order

The use of physical restraints on individuals in healthcare settings is a significant measure that requires careful consideration to ensure the rights and safety of the patient as well as the safety of others. A physician's order is essential because the use of restraints is governed by strict protocols and regulations. This requirement helps to ensure that restraints are applied in a manner that is clinically justified and medically necessary, rather than based solely on the subjective judgment of personnel. A physician's order provides a safeguard against the misuse of restraints, ensuring that they are only employed after other less restrictive alternatives have been considered and deemed inappropriate. This practice is rooted in ethical standards and legal regulations designed to protect patients and uphold their dignity while promoting safety. In contrast, relying solely on a nurse's discretion might lead to inconsistent application, and without a physician's order, there could be a violation of legal protocols. Additionally, parliament approval and patient consent are not standard prerequisites for the use of restraints in urgent situations, as the immediate safety of the patient and others may take precedence. Therefore, the requirement of a physician's order is fundamental to the appropriate and ethical use of physical restraints.