A nurse is assessing a client.
Which of the following factors should the nurse consider?

Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.

Choice A rationale
A healthcare proxy is a legal document that allows an individual to appoint someone to make medical decisions on their behalf if they are unable to do so themselves. This ensures that the individual’s healthcare preferences are followed even when they cannot communicate them. The proxy works closely with the healthcare team to ensure the patient’s wishes are respected.
Choice B rationale
Dictating funeral arrangements is not the primary purpose of a healthcare proxy. Funeral arrangements are typically handled through a will or other legal documents, not through a healthcare proxy.
Choice C rationale
Appointing a guardian for minor children is not the role of a healthcare proxy. This responsibility is usually designated through a will or other legal documents.
Choice D rationale
Managing the individual’s financial affairs is not the purpose of a healthcare proxy. Financial decisions are typically handled through a durable power of attorney for finances, not through a healthcare proxy.