A patient with depression paces, pulls at clothing constantly, and cannot sit for longer than 5 minutes. The patient ruminates about being a "bad" person. Select the most effective nursing intervention
a. Reassure the patient.
b. Direct the patient to lie down every 2 hours.
c. Ask the patient to assist in a simple, repetitive activity.
d. Seek a prescription for a PRN antipsychotic medication.
C
The psychomotor energy of agitation might be channeled into simple, repetitive activities. Providing an activity that is of value to others can help relieve guilt. As for the other options, the patient will be unable to lie down, global reassurance is ineffective, and an antipsychotic medication is not indicated.
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