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CNA exam topic: restraints

3 exam-style questions with the answer and the exact rule from federal regulations or CDC guidance.

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1. When a restraint is medically indicated for a resident, what specific approach must the nurse aide take regarding its application?Use the least restrictive alternative for the least amount of time. The rule mandates using the least restrictive option for the shortest duration necessary when restraints are required.
   42 CFR § 483.12(a): “When the use of restraints is indicated, the facility must use the least restrictive alternative for the least amount of time and document ongoing re-evaluation of the need for restraints.”
2. What is the requirement for a nurse aide regarding the use of restraints?Avoid the need for restraints in accordance with current professional standards. The rule instructs aides to avoid the need for restraints in accordance with current professional standards.
   42 CFR § 483.152(b): “Avoiding the need for restraints in accordance with current professional standards.”
3. When is it appropriate for a nurse aide to use physical restraints on a resident?When required to treat the resident's medical symptoms. Restraints are only permitted when medically necessary to treat symptoms, not for discipline, convenience, or staff ease.
   42 CFR § 483.12(a): “Ensure that the resident is free from physical or chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms.”

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