A patient is confused and trying to get out of bed. The side rails are up, but the patient is attempting to climb over them. What is your best action?

Question

Accepted Answer

Stay with the patient, use calm reassurance, and call for additional staff assistance. Staying with a confused patient, using calm reassurance, and calling for additional staff is the safest approach to prevent falls and injury. Leaving the patient (A) creates immediate fall risk. Physical restraints (C) require a physician's order and can increase agitation. Lowering rails (D) allows unattended exit and fall. CNAs are trained to provide presence and summon help for at-risk patients rather than use restraints or avoidance.