A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include?

A. "Remove clocks from the client's room." – Removing clocks can increase confusion and disorientation. Instead, having a visible clock and calendar can help the client stay oriented. B. "Check on the client frequently while he is in the restroom." – While frequent monitoring is important, excessive surveillance may increase agitation and distress. A better alternative is to ensure the restroom is safe and accessible. C. "Encourage physical activity throughout the day to expend energy." – Engaging the client in physical activity helps reduce restlessness, promotes better sleep, and decreases the likelihood of agitation, which can reduce the need for restraints. D. "Use full-length side rails on the client's bed." – Full-length side rails can be considered a form of restraint as they may limit movement and increase the risk of falls or injury if the client tries to climb over them.