In caring for a patient who is immobile, it is important for the nurse to understand that
a. The effects of immobility are the same for everyone.
b. Immobility helps maintain sleep-wake patterns.
c. Changes in role and self-concept may lead to depression.
d. Immobile patients are often eager to help in their own care.
ANS: C
The immobilized patient often becomes depressed because of changes in role and self-concept. Every patient responds to immobility differently. Immobility or bed rest frequently affects coping and creates sleep-wake alterations because of changes in routine or in the environment. Because immobilization removes the patient from a daily routine, he or she has more time to worry about disability. Worrying quickly increases the patient's depression, causing withdrawal. Withdrawn patients often do not want to participate in their own care.
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