A nurse is caring for an older adult client in a long-term care facility who is at high risk for falls and has attempted to climb out of bed multiple times. The nurse is considering applying a vest restraint. Which statement best explains the nurse's understanding of restraint use?
- Restraints should only be used after less restrictive alternatives have been tried and failed
- Restraints are the first-line intervention for clients who are at risk for falls
- Once a restraint is applied, the nurse should reassess the client every four hours
- Restraints can be applied at the nurse's discretion without a primary health care provider's order