Certified Emergency Nurse (CEN) Practice Test 2026 - Free CEN Practice Questions and Study Guide

The most appropriate approach for a nurse working with a patient experiencing symptoms of psychotic depression is to avoid forced decision-making while encouraging the expression of feelings. Patients in this state often feel isolated due to their symptoms, which can include delusions, hallucinations, and severe mood disturbances. By fostering an environment where the patient feels safe to express their feelings, the nurse can help in building rapport and therapeutic trust. This approach also promotes more effective communication and allows the patient to feel validated rather than suppressed or dismissed.

Encouraging expression of feelings can lead to better assessment of the patient's mental state and can guide treatment decisions, including necessary adjustments to their care plan. Avoiding forced decision-making respects the patient's autonomy, especially when they may be feeling vulnerable and overwhelmed. This supportive environment can enhance their engagement in treatment, ultimately aiding their recovery process.