In restraining a patient to prevent leverage, where should you secure the patient's arms?

• A. Only the patient's torso
• B. Both arms at the patient's sides
• C. Both arms above the head
• D. One arm above the head

Answer: (D)

Preventing leverage means positioning the arms so the patient cannot use them to generate force against you or the restraint. Securing one arm above the head creates a high anchor point that limits the arm’s ability to act as a lever against the body. With the arm overhead, the patient has less range to twist, push, or pull, which helps keep the torso and overall posture more stable. This setup also reduces the risk of the patient bridging or rolling toward the restricted side, while still allowing the other arm to be controlled with the rest of the restraint plan. In short, an overhead restraint on one arm minimizes the potential for leverage and movement, contributing to a safer, more controlled situation. Always monitor for comfort, breathing, and circulation and reassess as needed.