What measure will facilitate communication with a patient who is depressed and evi-dencing psychomotor retardation and withdrawal?
a. Ask the patient to indicate yes or no with finger signals.
b. Arrange to spend time with the patient at prearranged intervals.
c. Give concrete and concise directions rather than asking questions.
d. Speak loudly and rapidly to the patient to focus his or her attention.
ANS: B
This measure will promote the establishment of rapport and demonstrate respect and ac-ceptance of the patient. It will facilitate patient willingness to communicate thoughts and feelings without making unnecessary demands on the patient; a headshake or nod would work as well. Patients should not simply be ordered about; they should be asked to respond without placing excessive demands. Patients with psychomotor retardation have the ability to hear, but their ability to process information may be slowed, requiring well-paced simple communication.
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