The nurse sees a depressed patient who has psychomotor ...

[erika]

The nurse sees a depressed patient who has psychomotor retardation leaving the dining room. The patient's shirt is soiled from spilled food. The nurse should
 
  a. foster independence by suggesting changing shirts.
  b. ignore the spill to avoid embarrassing the patient.
  c. assist the patient to change into a clean shirt.
  d. notify the patient of the soiled shirt.

Question 2

After breakfast a depressed patient pleads with the nurse, Please let me go to my room to lie down for a while. The nurse should
 
  a. explain that the patient must attend scheduled activities.
  b. bargain with the patient to attend the next activity, then rest.
  c. rearrange the patient's schedule to accommodate the request.
  d. explain that the team will be displeased if the schedule is not followed.

[shaquita]

Answer to Question 1

C
A patient with psychomotor retardation might need assistance with hygiene and grooming. It is important for the nurse to help the patient appear well groomed so as to avoid embarrassment. Ignoring the situation is nontherapeutic. The patient should be assisted by staff. The patient might not have the physical energy to respond to a suggestion.

Answer to Question 2

A
Depressed patients often want to lie down, whether or not they wish to sleep. Solitude permits self-defeating ruminations and should not be encouraged. Kind firmness in helping the patient adhere to the treatment program is necessary. Because the patient has only been up long enough to eat breakfast, rest should not be necessary. Bargaining is not therapeutic. Threatening the team's displeasure is not therapeutic as a motivator.