Alzheimer’s Delirium and Dementia Q 60
A client with major depression has not verbalized problem areas to staff or peers since admission to a psychiatric unit. Which activity should the nurse recommend to help this client express himself?
A. Art therapy in a small group.
B. Basketball game with peers on the unit.
C. Reading a self-help book on depression.
D. Watching a movie with the peer group.
Correct Answer: A. Art therapy in a small group
Art therapy provides a non-threatening vehicle for the expression of feelings, and use of a small group will help the client become comfortable with peers in a group setting. Initially, provide activities that require minimal concentration (e.g., drawing, playing simple board games). Depressed people lack concentration and memory. Activities that have no “right or wrong” or “winner or loser” minimizes opportunities for the client to put himself/herself down.
Option B: Basketball is a competitive game that requires energy; the client with major depression is not likely to participate in this activity. Involve the client in gross motor activities that call for very little concentration (e.g., walking). Such activities will aid in relieving tensions and might help in elevating the mood.
Option C: Recommending that the client read a self-help book may increase, not decrease his isolation. When the client is in the most depressed state, Involve the client in one-to-one activity; maximizes the potential for interactions while minimizing anxiety levels.
Option D: Watching a movie with a peer group does not guarantee that interaction will occur; therefore, the client may remain isolated. Eventually, involve the client in group activities (e.g., group discussions, art therapy, dance therapy). Socialization minimizes feelings of isolation. Genuine regard for others can increase feelings of self-worth.