Psychiatric Assessment and Fundamentals Q 30

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Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:

  

     A. Multiple stimuli

     B. Routine Activities

     C. Minimal decision making

     D. Varied Activities

    

    

Correct Answer: B. Routine Activities

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Depression usually is both emotional & physical. A simple daily routine is the best, least stressful, and least anxiety-producing. 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.

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Option A: 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. When the client is in the most depressed state, involve the client in a one-to-one activity. Maximizes the potential for interactions while minimizing anxiety levels.

Option C: 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. Eventually maximize the client’s contacts with others (first one other, then two others, etc.). Contact with others distracts the client from self-preoccupation.

Option D: Allow the patient to engage in simple recreational activities, advancing to more complex activities in a group environment. The patient may feel overwhelmed at the start when participating in a group setting. Give positive feedback after a task is achieved. Positive reinforcement has a big part in building self-esteem.

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