- Direct confrontation about their lack of motivation.
- Encouragement to participate in a small, achievable activity.
- Dismissal of their feelings as part of the illness.
- Explanation of the neurochemical imbalance causing their anergia.
A patient with bipolar disorder in a depressive episode states, “I just can’t get out of bed. There’s no point.” The nurse’s most appropriate initial response combines empathy with:
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