A client with melancholic depression paces and wrings her hands for hours at a time. She tells the nurse, "I'm a bad person." Staff members have been unsuccessful in their attempts to promote rest. An intervention of possible value would be:
1. Insisting that the client lie down for 15 minutes of every hour
2. Asking the client to fold and stack bath towels and washcloths
3. Making the client aware of the negative effects of fatigue on mood
4. Reassuring the client that she is accepted and not considered a "bad" person
ANS: 2
The psychomotor energy of agitation must be expended; it may be channeled into simple, repeti-tive activity. Standing in one place to fold towels is an improvement over pacing. 1. This client will be unable to comply with the request. 3. A severely depressed client will not be able to cog-nitively process this sort of information. 4. Reassurance will not appreciably affect the need for psychomotor activity.
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