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Restraint Reduction: Regulations, Alternatives and Therapy Intervention

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1.  Which of the following can be considered a restraint? Trays, tables, cushions, bars, belts Position change alarm Bed rails All of the above

2.  Therapy intervention related to restraint use may focus on all but which of the following: Environmental modification Evaluating solely for the purpose of reducing the restraint Proper positioning Balance and fall management strategies

3.  Which of the following is NOT true of restraint use? There are many alternatives to restraints Restraints prevent falls and injury Residents feel less secure when restrained Restraints are not effective to manage behaviors and resistance to care

4.  Therapy goals as part of a restraint reduction initiative should focus on all of the following EXCEPT: Positioning Balance retraining Finding a less restrictive device to try Functional performance (e.g., gait, transfers)

5.  Which of the following is true regarding a restraint reduction protocol? The program should include an interdisciplinary approach Therapy should evaluate solely on the basis of de-retraining The facility is not required to consider alternatives prior to placing a restraint Therapy alone can make decisions about restraint use

6.  Physician orders/disclosure for restraints should include which of the following: Reason for the restraint and why it is recommended Type of restraint that is recommended How long and how often the restraint will be used All of the above

7.  Physical risks associated with restraint use include all but which of the following: Skin breakdown Improved mobility Decline in physical functioning Respiratory complications

8.  Which of the following might be considered as therapy adapts a persons environment or seating system: Cushion choice Positioning aids (e.g., lateral supports) Obstacles in the environment All of the above

9.  Treatment interventions related to restraint reduction include all but which of the following: Fall management strategies Safety training during task performance Consistent sequence and/or commands Placing a seat belt and/or lap buddy to prevent falls

10.  During the evaluation, therapists will do all of the following EXCEPT: Examine all other medical complications and medications that may impact the plan of care Complete a fall history Make recommendations about the most appropriate restraint Complete an assessment of the following: physical, balance function, ADL, gait, cognition, communication, perception, environment, positioning