The admitting note describes a patient with depression as having anergia and anhedonia. The nurse should plan measures to: (Select all that apply.)
a. channel excessive energy.
b. reduce guilty ruminations.
c. counter psychomotor retardation.
d. instill a sense of hopefulness.
e. reduce stimulation.
f. promote physical activity.
C, D, F
Anergia refers to a lack of energy; anhedonia refers to the inability to find pleasure or meaning in life. Therefore, planning should include measures to accommodate psychomotor retardation, promote physical activity, and instill hopefulness. Anergia is lack of energy, not excessive energy, so reducing stimuli or channeling excessive activity are not likely to be needed. Anhedonia does not necessarily imply the presence of guilty ruminations.
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