To reduce restriction during restraint, which approach is recommended?

• A. Use chemical restraints
• B. Lower level or change position when possible
• C. Delay intervention
• D. Increase restraints

Answer: (B)

The guiding idea is to use the least restrictive approach that still keeps everyone safe. When possible, lowering the level of restriction or changing the person’s position reduces physical constraint while maintaining safety, which helps the person regain calm and voluntary cooperation without unnecessary harm. Repositioning can also improve breathing, circulation, and comfort, and it supports de-escalation rather than escalation.

Using chemical restraints introduces medical risks and requires specific justification and monitoring, so it’s not the preferred way to reduce restriction. Delaying intervention can allow the situation to worsen and increase risk, and increasing restraints adds more restriction and danger. So, when feasible, adjusting to a lower level of restriction or a safer position is the best approach.