Least Restrictive Restraints And Monitoring Practice Test

A 83-year-old client with dementia and poor vision is in a hospital room and repeatedly attempts to get out of bed to “go home.” The nurse has tried reorientation, ensuring glasses are on, and offering toileting; the client continues to stand without assistance. Which intervention can be implemented to monitor the client effectively without restraints?

An 82-year-old client with vascular dementia and osteoarthritis is in a long-term care facility room. The client repeatedly attempts to exit the bed at night and has bruising from a recent fall; staff have attempted scheduled toileting, a nightlight, and placing the call light within reach, but the client still tries to wander. Which intervention can be implemented to monitor the client effectively without restraints?