護理師正在檢視一名需使用身體約束病人的照護計畫。護理師應確保記錄中包含哪些資訊？（選所有適合的）
The nurse is reviewing the plan of care for a client who requires a prescription for physical restraints. Which information should the nurse ensure is documented? (Select all that apply.)
- AThe specific reason for the restraint usage✓ 正解使用身體約束的具體原因
- BThe type of restraint being applied✓ 正解所使用的約束類型
- CA PRN (as needed) order for future restraint use未來使用身體約束的必要時 (PRN) 醫囑
- DThe client's behavior that necessitated the restraint✓ 正解導致需要使用約束的病人行為
- EThe time limit for the restraint prescription✓ 正解約束處方的時間限制
身體約束的病歷紀錄必須極其完整以符合法律與倫理標準。包含：約束的原因、具體使用的約束類型（如手腕帶）、導致此決定的病人行為（具體描述而非主觀判斷）以及醫囑的效期。C 錯誤：在美國，嚴禁開立 PRN（需要時才用）的約束醫囑，每次使用都必須由醫師重新評估並開立新醫囑。
Documentation for physical restraints must be thorough to meet legal and ethical standards. It must include the reason for restraint use, the specific type of restraint applied (e.g., wrist restraint), the client behavior that necessitated the restraint (described objectively rather than subjectively), and the time limit of the order. Option C is incorrect: in the United States, PRN (as-needed) restraint orders are strictly prohibited, and each application of restraint requires reassessment and a new order from the physician.
美國對約束的法規極其嚴格，違反 PRN 禁令會導致醫院面臨巨額罰款；台灣目前亦趨向嚴格管理，但部分醫院仍存在長期約束的慣性。