When is physical restraint appropriate?

• A. First resort
• B. Only the last resort
• C. Never
• D. As needed

Answer: (B)

Restraint is appropriate only as a last resort, when there is imminent danger of harm to the person or others and there are no safer, less intrusive options available. The idea is to try de-escalation and other less restrictive strategies first—calm, clear communication; reducing environmental triggers; offering choices; and ensuring enough staff to support safety. If restraint becomes necessary, it should be used for the shortest time possible and in the least restrictive form, with continuous monitoring, and a plan to discontinue as soon as the danger passes. Documentation, adherence to policy and legal/ethical guidelines, and ongoing risk assessment are essential. The goal is safety while preserving the person’s dignity and autonomy, not applying restraint routinely or without careful justification.