CIWA
Therapeutic Communication
Mental Illnesses
Misc.
100

List 3 objective elements of CIWA (what the nurse can observe). 

What are: vomiting, tremors, sweats, anxiety, agitation, and orientation?

100

List 2 types of nonverbal communication. 

What is: body posture, touch, facial expressions, eye behavior, vocal cues, tone, etc.?

100

Delusions, hallucinations, and disordered speech are _______ symptoms in someone with schizophrenia. 

What are positive symptoms?

100
This is the priority assessment question to ask a patient at risk for suicide.

What is: "Do you have a plan?"

200

List 3 subjective elements of CIWA (what the nurse cannot observe). 

What is: tactile, auditory, and visual disturbances, and headaches?

200

When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient. 

A. I see

B. Really?

C. You're having difficulty sleeping?

D. Sometimes, I have trouble sleeping too. 

Answer: What is C - You're having difficulty sleeping?

200

Lack of social activity, lack of appetite, and poor self care are _______ symptoms in someone with schizophrenia. 

What are negative symptoms?

200

This is defined as a "loss of pleasure in once pleasurable activities". 

What is anhedonia?

300

At what score do CIWA patients typically not need to be medicated for.

What is less than 10? (Will also accept "What is less than 8?")

300

Name 2 techniques of nontherapeutic communication.

What is: Giving false reassurance, rejection, agreeing, giving advice, etc.?

300

A person with this personality disorder has instability in relationships, unstable moods, can be impulsive, and engages in splitting. 

What is borderline personality disorder?

300

This class of medications is typically prescribed for alcohol withdrawal. 

What are benzodiazepines?

400
This is what CIWA-Ar stands for.

What is Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised?

400
Name 2 therapeutic communication techniques. 

What is: Silence, accepting, giving recognition, offering self, giving broad openings, etc.?

400

Nursing interventions for a patient diagnosed with depression should be focused on this. 

What is safety?

400

What are the three criteria (the patient must meet one of them) for a patient to be placed on an involuntary hold?

What is danger to self, danger to others, and grave disability?

500
Most CIWA questions are based on a scale of 0 to how many possible points?

What is 7? (Orientation question is on a scale from 0-4). 

500

A patient experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the patient to eat?

A. Using open-ended questions and silence

B. Sharing personal preference regarding food choices

C. Documenting reasons why the patient does not want to eat

D. Offering opinions about the necessity of adequate nutrition


What is A: Using open ended questions and silence

500

The nurse suspects this personality disorder when the patient reports no interest in others and wants to be alone. 

What is Schizoid Personality Disorder?

500

Uncontrollable tongue movements and difficulty swallowing are hallmark signs of this medication-related disorder.

What is tardive dyskinesia?