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

Which of the following actions is least effective in managing a patient prone to falls at night?

1. Scheduled toileting.

2. Bedside commode.

3. Chemical restraints.

4. Physical restraints.

The correct answer is: Chemical restraints.

Choosing chemical restraints as a method to manage a patient prone to falls at night is considered least effective because such interventions do not address the underlying issues contributing to the patient's fall risk. Chemical restraints, which involve the use of sedatives or other medications to limit movement, can impair the patient's cognitive function, reaction times, and overall mobility. This can ironically increase the risk of falls rather than decrease it, especially if the patient becomes disoriented or overly sedated. In contrast, scheduled toileting helps to preemptively address the need for bathroom use, reducing the likelihood of a patient attempting to get up alone at night. A bedside commode makes it easier and safer for the patient to access the restroom without navigating potentially hazardous pathways. Physical restraints may restrict movement but can lead to additional complications, such as pressure injuries or agitation, and are generally not recommended as a first-line intervention. Thus, both scheduled toileting and a bedside commode are more proactive and supportive approaches to managing fall risk.