Clinical Nurse Leader Practice Exam

What is the first step in reducing the duration of restraint episodes in a geriatric unit?

1. Obtain national restraint benchmarks

2. Conduct a full assessment of restraint-related data and processes

3. Conduct a literature search for best practices

4. Speak with staff from lower-duration units

The correct answer is: Conduct a full assessment of restraint-related data and processes

The first step in reducing the duration of restraint episodes in a geriatric unit is to conduct a full assessment of restraint-related data and processes. This approach is crucial because a comprehensive assessment allows healthcare providers to identify the current situation, understand utilization patterns, and determine the specific factors contributing to prolonged restraint use. By analyzing data, the unit can pinpoint trends, frequency of restraints, and identify patient populations most affected by restraints. Understanding past policies, individual patient needs, and staff practices regarding restraint usage establishes a baseline from which improvement strategies can be developed. This step not only creates awareness of the restraint practices currently in place but also highlights areas where interventions can be implemented effectively. Subsequently, after this assessment, targeted measures can be effectively deployed to address the issues identified, further informing choices like developing educational programs or exploring collaborative approaches with lower-duration units, which can be part of future steps after the initial assessment is complete.