A 68-Year-Old Man Is Admitted to a Rehabilitation Unit Following

A 68-year-old man is admitted to a rehabilitation unit following a stroke that resulted in right-sided weakness and facial droop.  He has a history of hypertension, coronary artery disease, osteoarthritis, and prostate cancer in remission.  Prior to the stroke, the patient had retired to care for his wife, who has early-onset dementia.  The physical therapist informs the physician that the patient has shown little effort over the past 3 weeks and has recently refused rehabilitation services, saying, "What's the point?"  The physician speaks with the patient's family members, who say, "Ever since last month's stroke, he seems so resigned and barely talks when we visit.  He seems uninterested in hearing about the grandchildren he adores and has asked his friends not to visit."  When interviewed by the physician, the patient says he has had low energy, decreased concentration, and difficulty sleeping since the stroke.  He says, "Of course I'm depressed, with all my medical problems and my wife's condition.  Wouldn't anyone in my situation be depressed?"  He has no suicidal ideation.  Which of the following is the most appropriate response to the patient by the physician?

A) "It's understandable that you are depressed, but there are treatments that can help."
B) "It's understandable that you are depressed, but you will feel better as you recover from the stroke."
C) "Joining a support group can help you connect with other stroke survivors."
D) "Participating in physical rehabilitation will improve your strength and help you be more active."
E) "You might feel better if you spend more time with friends and family who can give you support."
F) "Your sadness is part of a normal grief reaction to your new physical limitations."

Correct Answer:

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