California Certified Nursing Assistant (CNA) Practice Exam

Which of the following indicates an inappropriate application of a jacket restraint?

1. Restraint straps that are safely secured to the side rails

2. Straps that restrict the patient's movement significantly

3. Restraint checked frequently for comfort

4. Patient being monitored for safety

The correct answer is: Straps that restrict the patient's movement significantly

A jacket restraint is designed to ensure the safety of patients while allowing for some degree of mobility, depending on their condition. An inappropriate application occurs when it significantly restricts the patient's movement, compromising their ability to move freely and potentially causing discomfort or harm. When restraint straps restrict a patient's movement to a significant degree, they may lead to complications such as muscle atrophy, pressure injuries, or even psychological distress. The goal of using any restraint is to maintain patient safety while minimizing restriction of movement as much as possible. In contrast, a proper application includes securing straps to the side rails in a way that does not hinder movement excessively, ensuring frequent checks for the patient’s comfort, and ongoing monitoring for safety, which all support the appropriate use of restraints. These practices are critical to promoting dignity and ensuring that the patient is comfortable while still being safe.