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.
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.
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