NCLEX-RNManagement of CareHard

A nurse applies bilateral wrist restraints to an alert, fully oriented client who has been frequently requesting help to get out of bed. The nurse applies the restraints without a physician's order because the unit is short-staffed and the nurse is concerned about falls. Which legal concept best describes this situation?

  1. AFalse imprisonment, because the client's freedom of movement was restricted without justification or a proper order
  2. BBattery, because the restraints involve unauthorized physical contact with the client
  3. CNegligence, because the nurse failed to meet the general standard of care
  4. DAssault, because the client was threatened with physical restraint
Show answer & explanation

Correct answer: A. False imprisonment, because the client's freedom of movement was restricted without justification or a proper order

False imprisonment occurs when a competent client's freedom of movement is restricted without legal justification, such as applying restraints to an alert, oriented client without a valid order or documented clinical indication. Restraints used purely for staff convenience rather than an assessed safety need constitute an unjustified restriction of liberty.

Why the other options are wrong

  • B. Battery involves unauthorized touching, but the more precise legal concept here is the unjustified restriction of movement.
  • C. Negligence is a broader concept about failing standards of care, less specific than the intentional confinement described here.
  • D. Assault involves a threat of harmful contact, not the actual physical restriction described.

False Imprisonment

False imprisonment is the unjustified restriction of a client's freedom of movement without a proper order or legitimate safety indication, such as restraining an alert, oriented client for staff convenience.

  • Restraints require a physician's order and documented justification
  • Restraining a competent client without cause is false imprisonment
  • Different from battery (unauthorized touching) and assault (threat of harm)
  • Least restrictive alternatives must be tried first

Memory trick: No order, no cause—restraint becomes a cage.

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