A patient with melancholic depression paces and wrings her hands for hours at a time while repeating, "I'm a bad person." Staff members have been unsuccessful in their at-tempts to promote rest
Which intervention is most appropriate in promoting rest?
a. Instructing the patient to lie down for 15 minutes of every hour
b. Asking the patient to fold and stack bath towels and washcloths
c. Making the patient aware of the negative effects of fatigue on mood
d. Reassuring the patient that she is accepted and not considered a "bad" person
ANS: B
The psychomotor energy of agitation must be expended; it may be channeled into simple, re-petitive activity. Standing in one place to fold towels is an improvement over pacing. This patient will be unable to comply with the request to lie down. A severely depressed patient will not be able to cognitively process this sort of information. Reassurance will not apprecia-bly affect the need for psychomotor activity.
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