What is the correct description of the manual strangulation type?

The description of manual strangulation refers specifically to the act of using the hands or limbs to constrict the throat and impede airflow. This method does not involve any external tools or devices, making it a more intimate and physically direct form of strangulation. It indicates a hands-on approach, where the individual is actively using their physical strength to apply pressure.

In contrast, other methods such as using objects would imply the inclusion of items like ropes or cords, which would categorize the act differently. Mechanical devices refer to instruments designed for strangulation, and chemical restraints relate to the use of drugs to impair a person's ability to defend themselves. Therefore, the emphasis on "hands or limbs" accurately characterizes the manual aspect of the act, highlighting its direct and personal nature in forensic nursing contexts.