Therapeutic Communication
Which therapeutic technique involves repeating the patient’s words to confirm understanding?
Restatement
Give one example of a first-generation (typical) antipsychotic
Haloperidol or Chlorpromazine
What 3 major areas does mental illness affect?
Cognition, Emotion, Behavior
To do no harm
Non-maleficence.
What is the nurse's priortiy when treating a pateint with anorexia?
Assess labs and patient's vital signs
Saying “Tell me more about that” is an example of which technique?
General lead
What life-threatening condition can antipsychotics cause, characterized by fever, muscle rigidity, and autonomic dysfunction?
Neuroleptic Malignant Syndrome (NMS).
This is the name for the discrimination, isolation, and self-doubt that can result from having a mental illness.
Stigma
What must a patient be in order to give informed consent?
At which Erikson's stage do we seek meaningful relationships?
Intimacy vs. Isolation (18-40 years)
What does it mean when a nurse “offers self”?
Being present, empathetic, and supportive without judgment or imposing opinions.
Which class of antidepressants can cause hypertensive crisis if the patient eats foods with tyramine?
MAOIs
How do we end each encounter with our patient's especially in the termination phase?
With a thank you
What is the difference between assault and battery in nursing?
Assault = threat; Battery = carrying out the threat (e.g., using restraints unnecessarily).
In the nurse-patient relationship, during which phase should termination first be discussed?
The orientation phase
True or False: Silence can be a therapeutic communication technique.
True
Lithium requires monitoring of which two lab values?
Blood lithium levels and sodium levels
Name the various neurotransmitters involved in psychiatric disorders.
Serotonin, dopamine, norepinephrine, GABA, acetylcholine, glutamate.
Name two situations where a nurse is required to break confidentiality.
If the patient is a danger to themselves or others, or in cases of abuse/neglect (mandatory reporting).
According to Maslow’s hierarchy, which need must be met before love and belonging?
Safety
What is the difference between transference and countertransference?
Transference is when the client redirects past feelings onto the nurse; countertransference is when the nurse’s emotions toward the client are influenced by their own past experiences.
What should you look out for when a patient is taking first-generation antipsychotics?
Extrapyramidal side effects: Akathisia (restlessness), Dystonia (muscle stiffness), and tardive dyskinesia (involuntary movements of jaw and lips.
What is the primary goal of the therapeutic milieu?
To create a structured, supportive environment that promotes recovery and safety.
Who has the authority to overide a patient's right to refuse mental health treatment when they are a danger to themselves or others?
Healthcare provider (HCPs)
Why must we as nurses accompany our patients who suffer from bulima nervosa to the restroom?
To deter or detect self induced vomiting