Therapeutic Communication
What is the term for allowing silence to give the patient space to express feelings?
Using therapeutic silence.
Name one hallmark symptom of major depressive disorder.
Depressed mood or anhedonia
The priority nursing intervention during a panic attack is to…
Stay with the patient and use a calm, reassuring presence.
Auditory hallucinations are an example of what type of symptom?
Positive symptom
Holding a patient against their will without legal justification is called…
False imprisonment
Responding with “Tell me more about that” is an example of what technique?
Broad opening / Open ended questions
What is the first priority when assessing a client with depression?
Assessing for suicidal ideation or safety risk
What physiological system is activated in anxiety?
Sympathetic nervous system.
Flat affect is an example of what type of symptom?
Negative symptom
What must be assessed first before using restraints?
Less restrictive alternatives
“I hear that you’re feeling overwhelmed today” represents which therapeutic skill?
Reflection of feelings
What scale is often used to measure depression severity?
PHQ-9 (or Hamilton Depression Rating Scale).
What is the first-line medication class for generalized anxiety disorder?
SSRIs
What is the priority nursing response to a patient stating, “The voices are telling me to hurt myself”?
Assess the content of the hallucination and ensure safety
What is the term for threatening to touch a patient without consent?
Assault
What communication block occurs when a nurse gives unsolicited advice?
Non-therapeutic: giving advice
Which neurotransmitters are most associated with depression?
Serotonin and norepinephrine
Breathing exercises reduce anxiety by targeting which physiologic mechanism?
Decreasing hyperventilation and activating parasympathetic response.
What is the name of the scale used to assess extrapyramidal symptoms?
AIMS (Abnormal Involuntary Movement Scale).
What legal document allows involuntary psychiatric hospitalization for 72 hours?
A 5150 / involuntary hold
Asking, “What was happening right before you began feeling anxious?” uses which advanced therapeutic technique?
Exploring / Focusing.
What is the evidence-based therapy shown to be highly effective for depression?
Cognitive Behavioral Therapy (CBT).
What is the term for fear of being in places where escape might be difficult?
Agoraphobia
What atypical antipsychotic requires routine CBC monitoring for agranulocytosis?
Clozapine
What principle describes making decisions in the patient’s best interest?
Beneficence