What is one major risk associated with the use of restraints in skilled nursing care?

• A. Increased independence
• B. Improved psychological well-being
• C. Physical injury
• D. Enhanced mobility

Answer: (C)

The use of restraints in skilled nursing care is closely linked to the risk of physical injury. This can occur for various reasons, including the potential for falls when a patient struggles against restraints or the risk of skin breakdown and other complications if they remain immobilized for extended periods. Physical restraints can impede a patient's natural movements, leading to an increased chance of accidents. Moreover, the psychological impact of feeling confined can also result in agitation or distress, which might make patients more likely to attempt to remove the restraints and subsequently harm themselves in the process.

The alternatives presented do not reflect the adverse effects associated with restraint use. For instance, increased independence and enhanced mobility are contradictory outcomes when restraints are applied, as these devices are primarily intended to restrict movement for safety. Improved psychological well-being is also unlikely, as restraints can often lead to feelings of anxiety, frustration, or loss of dignity, which can negatively impact a patient’s mental health. Understanding these risks is critical for providing safe and effective care in a skilled nursing environment.