NCLEX-RN

Answer: D - Using restraints to prevent falls should be the last option. The nurse should utilize restraint-free methods, such as placing a bed side commode near the bed, or adjusting the client’s environment to reduce the risk of falling. Responding to signal lights as soon as possible conditions the client that he will get the help he needs when he asks for it. Assigning the client’s room near the nurse’s station allows the nurse to monitor the client more closely.