Author Question: A severely depressed patient with psychomotor retardation has begun activities therapy. His schedule ... (Read 32 times)

dakota nelson · **on:** Jul 19, 2018

A severely depressed patient with psychomotor retardation has begun activities therapy. His schedule is: 9 AM, ceramics; 10 AM, exercise group; 11 AM to noon, open; noon, lunch.

The nurse creating the patient's schedule should opt to fill the hour block from 11 AM to noon with: a. group therapy.
b. a rest period.
c. reminiscence group.
d. individual counseling.

Question 2

The nurse is caring for a male client with a major depressive disorder who has not responded well to various treatments in the past. The latest treatment method has resulted in slight improvement in the client's symptoms.

On this particular day, the client has a very positive affect and says he feels amazingly better. The nurse should: a. Congratulate him on his recovery.
b. Document the client's improvement.
c. Ask him what he feels has helped him feel better so suddenly.
d. Assess the client for signs and symptoms of suicidal thoughts.

Kaytorgator · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Severely depressed patients have anergia (little mental or physical energy) and are readily fatigued. Psychomotor retardation also takes its toll. After 2 hours of activity, the patient may be simply too tired to gain anything from a therapy group. Fatigue can also worsen irritability and depression. The patient should be allowed to rest at intervals and have therapy scheduled later in the day.

Answer to Question 2

D
This behavior is frequently seen when a depressed individual has made the decision to commit suicide. The other options ignore this important sign.