Arkansas Long Term Care Administrator Practice Exam

Is it permissible to use locked doors or restraints to keep a patient in place?

1. Yes, in emergencies

2. No, it is not allowed

3. Yes, if authorized by a physician

4. No, but with family consent

The correct answer is: No, it is not allowed

The use of locked doors or restraints in long-term care settings is a delicate subject governed by strict regulations and best practice standards aimed at ensuring the safety and dignity of residents. The correct answer indicates that it is not permissible to use these methods for keeping a patient in place. In the context of long-term care, the use of restraints—whether physical restraints, locked doors, or other methods—is generally prohibited except in very specific circumstances and under stringent guidelines. These guidelines emphasize the importance of resident autonomy and rights. Restraints should never be used for staff convenience, punishment, or to manage behaviors unless absolutely necessary for immediate safety and only when less restrictive measures have been exhausted. Facilities must comply with state and federal regulations that prioritize the least restrictive environment for residents. Using locked doors or restraints without clear justification can lead to violations of residents' rights and human dignity. It can also result in legal consequences for the facility and its staff. Therefore, a blanket prohibition on such practices aligns with the ethical standards in the care of individuals in long-term care settings and supports a culture of person-centered care.