Psychiatric Technician Practice Exam

When restraints are necessary for an elderly client, which principle should be followed?

1. Use the most restrictive device available

2. Utilize the least restrictive device or method first

3. Only use chemical restraints

4. Use restraints only if there is a medical order

The correct answer is: Utilize the least restrictive device or method first

Using the least restrictive device or method first is a foundational principle in the care of individuals, especially elderly clients, who may be particularly vulnerable. This approach emphasizes the importance of considering the dignity, autonomy, and safety of the client when implementing any form of restraint. When restraint is deemed necessary due to safety concerns, starting with the least restrictive option allows caregivers to minimize the potential physical and psychological impact on the client. The principle advocates exploring alternatives and ensuring that any intervention is proportional to the risks involved, thereby fostering an environment that respects the client's rights while still addressing safety needs. This principle aligns with best practice standards in mental health and geriatric care, where the focus is on promoting independence and enhancing quality of life. Alternatives to restraints, such as increased supervision, distraction techniques, or calming strategies, should be considered before resorting to physical or chemical restraints. The emphasis on minimizing the use of restraints wherever possible aids in reducing the potential for adverse effects, such as injury or increased agitation, which can occur with more restrictive measures.