What should a nurse do when a client in restraints needs to discontinue their restraints?

When a client in restraints needs to have them discontinued, explaining the reason for the restraints to the client is crucial. This process promotes understanding and supports the client's autonomy, allowing them to feel more comfortable and safe. Clear communication helps build trust between the nurse and the client, which is essential in any therapeutic relationship.

Providing an explanation also offers an opportunity to address any concerns the client may have about their care and the circumstances that led to the use of restraints. It can aid in reducing anxiety and potential feelings of fear or confusion the client may experience regarding their treatment.

In contrast, abruptly removing restraints without discussion can leave the client feeling insecure and might not foster a sense of cooperation. Informing the client only when the primary care provider arrives fails to maintain the therapeutic rapport and does not empower the client, while removing restraints regardless of behavior could compromise the safety of both the client and the staff if the restraints were necessary for managing the client's actions. Therefore, explaining the rationale behind the restraints before discontinuing them is the most appropriate and effective course of action.