Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

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What action may increase a confused patient's anxiety while in a medical facility?

  1. Using visual aids in their room.

  2. Implementing physical restraints.

  3. Having nurse check-ins every hour.

  4. Providing a routine of activities.

The correct answer is: Implementing physical restraints.

Implementing physical restraints can significantly increase a confused patient's anxiety in a medical facility. Restraints can evoke feelings of fear, helplessness, and loss of control, especially in individuals who may already be disoriented or confused. When patients are restrained, they may feel trapped and unable to move freely, which can heighten their anxiety and distress. In contrast, the other options—using visual aids, regular nurse check-ins, and providing a routine of activities—are strategies designed to enhance communication, create a sense of security, and reduce confusion. Visual aids can provide clarity and support understanding, while consistent nurse check-ins can reassure patients that they are being cared for and monitored. Establishing a routine can help orient and ground confused patients, giving them a structure that can alleviate anxiety. Therefore, the use of physical restraints stands out as a method that can worsen a patient's emotional state rather than alleviate it.