NVCI Behavior Management, Communication, and Restraint Principles Practice Exam

The key idea is using a tiered approach to control while the person is standing. Standing holds at multiple levels means you apply restraints at different heights on the body—lower, medium, and higher—depending on the situation and safety needs, while the person remains upright. This approach allows staff to use the least intrusive option that still maintains safety, escalating only as necessary and then de-escalating as soon as possible. The other phrasings mix in seated or overhead contexts or describe general restriction without specifying the standing position, which isn’t what this concept targets.