A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints?

A. Mechanical restraints should never be used as a form of discipline. Restraints are a safety measure, not a punitive action. B. Verbal abuse alone is not a valid reason for using mechanical restraints. Restraints should not be used for punishment or as a response to verbal behavior. C. Coercing a client to take prescribed medications with restraints is inappropriate. Restraints should never be used to force a client to comply with treatment. D. Self-destructive behavior that continues despite the use of alternative interventions is an appropriate indication for using mechanical restraints. Restraints may be used to prevent harm to the client, but they should always be applied as a last resort and with careful monitoring.