Which statement is not aligned with safe restraint use?

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Safe restraint use centers on de-escalation, choosing the least restrictive option, obtaining consent when feasible, and continuous monitoring. Starting with the most restrictive option contradicts these principles. Using the strongest measure first increases risk of physical harm, psychological trauma, and loss of autonomy, and it can undermine trust and safety. The preferred path is to attempt verbal de-escalation, explore less restrictive alternatives, and only escalate if there is imminent danger and after other options have been tried, with proper justification, supervision, and ongoing monitoring. Obtaining consent when possible aligns with respecting the patient’s autonomy and ethical practice, and restraints should be used only when clearly necessary and for the shortest duration possible.