A nurse is assessing a client who was placed in restraints for aggressive behavior. The client is now calm and cooperative. Which of the following actions should the nurse take?

Rationale: A. Group therapy can be beneficial later in treatment, but the priority now is to remove restraints once they are no longer necessary to ensure client safety and dignity. B. Monitoring every 15 minutes is appropriate while restraints are in place, but once the client is calm and cooperative, restraints should be discontinued. C. Restraints must be removed as soon as the client demonstrates control and is no longer a danger to self or others. This aligns with ethical and legal standards that require the least restrictive intervention possible. D. PRN pain medication is not indicated unless there is a specific complaint of pain. The nurse’s priority is to remove restraints safely.