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.
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.
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