NEWEST 2026-2027 (NUR2459) NUR 2459 RASMUSSEN
MENTAL HEALTH EXAM 1 MODULES 1-3 QUESTIONS AND
CORRECT ANSWERS 100% VERIFIED!!
What are some psychiatric historical events that have occurred in the early
psychiatric era? - ANSWER 18th century- state asylums created, 600,000
residents were in them, 1st school or psychiatric nursing was created in 1882,
deinstitutionalization, shift in role of the nurse from custodial care to professional
care.
Explain what early use of phenothiazine was for in early psych nursing. -
ANSWER it was discovered to help control psychotic behaviors and improve/
clear thinking.
What were the two nursing interventions associated with somatic therapy in early
psych nursing? - ANSWER insulin therapy
ECT therapy
Explain significance of insulin therapy in the early psych era. - ANSWER insulin
was administered until the client was comatose, this could kill the patient
because the blood sugar could drop below normal levels, but it helped relive
psych symptoms.
Explain significance of early ECT therapy. - ANSWER an electrical stimulus was
given to the brain with the result of a grand-map seizure. Now we can control the
shock given and give medications to sedate the client and stimulate the seizure
and for proper monitoring throughout the procedure.
Explain what deinstitutionalization is. - ANSWER there was a massive discharge
of psychiatric patients from mental hospitals back to their original communities.
What is significant about the impact of deinstitutionalization? - ANSWER many of
the psych patients who needed services were forced onto the streets, potentially
leading them to more harm and crime.
3 main reasons deinstitutionalization was initiated. - ANSWER the belief that
treatment in the hospitals was inhumane
Hope that medications would offer a cure
Lack of funding at the state and federal level
What is the order of maslows hierarchy of needs bottom to top? - ANSWER
physiological needs-safety need- love and belong needs- self esteem- self
actualization
,What is important to know about maslows hierarchy of needs? - ANSWER
motivation is continuous quest for self actualization, can reverse levels based on
life circumstances, lower level needs must be met first before advancement to
higher level psychological needs.
Examples of psychotherapy - ANSWER behavioral therapy, cognitive therapy,
didactical behavior therapy
Based on a verbal therapist to client interaction
Examples of open environment therapies - ANSWER family, group and milieu
therapy
Examples of Brian stimulation techniques - ANSWER ECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
Explain what behavioral therapy is. - ANSWER aims to modify maladaptive
behavior patterns.
Based that a behavior is learned and has consequences and abnormal behavior
results from an attempt to avoid painful feelings and reduce anxiety.
What is the nurses role with behavioral therapy? - ANSWER Role of the nurse: to
use the nursing process to assist the client with behavior modification. This can
be through 1 on 1 groups, different ways like classical and operant conditioning
Explain what cognitive therapy is. - ANSWER focuses on individual client
thoughts and behaviors to solve current problems.
Based on changing the way one thinks.
What is the role of the nurse with cognitive therapy? - ANSWER the nurse will
plan psychoeducation, use of the therapeutic relationship and counseling
interventions. They also reevaluate to determine if intervention was successful
with the therapy.
Explain what cognitive behavioral therapy is (CBT) - ANSWER uses both
cognitive and behavioral approaches to assist a client with anxiety management.
Explain what family therapy is - ANSWER therapy based on family dynamics and
improving family functioning by learning the ways for dealing with mental illness
in the family, improving understanding among family members, maximizing
positive interaction with family members.
Explain what milieu therapy is - ANSWER creates an environment that is
supportive and therapeutic and safe to benefit clients and promote coping within
a safe place.
, Explain what group therapy is - ANSWER therapy focused on helping individuals
develop more functional and satisfying reactions within a group setting with
common feelings, experiences and thoughts that lead to positive behavior
changes from interaction and feedback.
Explain what ECT is used today - ANSWER the induction of a grand-mal seizure
through the application of electrical currents to the brain during anesthesia.
Electrodes are placed bilaterally and an appropriate dose of electrical current is
sent through the brain to enhance the effects of certain neurotransmitters.
What types of disorders can ECT help with? - ANSWER Used as a last resort in
depression, mania, schizophrenia, and psychosis when medication and treatment
has failed.
Side effects from ECT - ANSWER confusion and memory loss, headache
What is the role of the nurse during ECT? - ANSWER often during the pre-op and
post-op phases. Complete assessment should be completed before the client
goes back to the procedure, including medication reconciliation and a signed
consent form. Places the IV, gives pre procedure medications, takes vitals before
and after procedure. After procedure : placing the patient on the side, orient the
client, describe what happened, allow the patient to have therapeutic
communication based on their feelings, assisting them as needed until fully
awake.
What will actually happen during the ECT procedure? - ANSWER When in the
treatment room, the nurse will help position the patient while the CRNA gives the
patient a short acting anesthetic and medication to induce the seizure.a bp cuff,
pulse ox and oxygen may be given as needed and a bite block and electrodes to
monitor EKG.once asleep, the provider will decide how much electricity the client
will get and will shock the client and monitor for any changes, the CRNA will
wake the patient up when finished, all people in the room will monitor for adverse
reactions.
Medications that may be given during ECT - ANSWER atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
What is trans-cranial magnetic stimulation? - ANSWER a noninvasive therapy that
uses magnetic pulsations to stimulate the cerebral cortex of the brain for those
with depression who have not been responsive to medications.
What is vagus nerve stimulation? - ANSWER provides electrical stimulation
through the vagus nerve of the brain through a surgically implanted device to
increase neurotransmitter levels to treat depression resistant to other methods of
treatment and medication.
MENTAL HEALTH EXAM 1 MODULES 1-3 QUESTIONS AND
CORRECT ANSWERS 100% VERIFIED!!
What are some psychiatric historical events that have occurred in the early
psychiatric era? - ANSWER 18th century- state asylums created, 600,000
residents were in them, 1st school or psychiatric nursing was created in 1882,
deinstitutionalization, shift in role of the nurse from custodial care to professional
care.
Explain what early use of phenothiazine was for in early psych nursing. -
ANSWER it was discovered to help control psychotic behaviors and improve/
clear thinking.
What were the two nursing interventions associated with somatic therapy in early
psych nursing? - ANSWER insulin therapy
ECT therapy
Explain significance of insulin therapy in the early psych era. - ANSWER insulin
was administered until the client was comatose, this could kill the patient
because the blood sugar could drop below normal levels, but it helped relive
psych symptoms.
Explain significance of early ECT therapy. - ANSWER an electrical stimulus was
given to the brain with the result of a grand-map seizure. Now we can control the
shock given and give medications to sedate the client and stimulate the seizure
and for proper monitoring throughout the procedure.
Explain what deinstitutionalization is. - ANSWER there was a massive discharge
of psychiatric patients from mental hospitals back to their original communities.
What is significant about the impact of deinstitutionalization? - ANSWER many of
the psych patients who needed services were forced onto the streets, potentially
leading them to more harm and crime.
3 main reasons deinstitutionalization was initiated. - ANSWER the belief that
treatment in the hospitals was inhumane
Hope that medications would offer a cure
Lack of funding at the state and federal level
What is the order of maslows hierarchy of needs bottom to top? - ANSWER
physiological needs-safety need- love and belong needs- self esteem- self
actualization
,What is important to know about maslows hierarchy of needs? - ANSWER
motivation is continuous quest for self actualization, can reverse levels based on
life circumstances, lower level needs must be met first before advancement to
higher level psychological needs.
Examples of psychotherapy - ANSWER behavioral therapy, cognitive therapy,
didactical behavior therapy
Based on a verbal therapist to client interaction
Examples of open environment therapies - ANSWER family, group and milieu
therapy
Examples of Brian stimulation techniques - ANSWER ECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
Explain what behavioral therapy is. - ANSWER aims to modify maladaptive
behavior patterns.
Based that a behavior is learned and has consequences and abnormal behavior
results from an attempt to avoid painful feelings and reduce anxiety.
What is the nurses role with behavioral therapy? - ANSWER Role of the nurse: to
use the nursing process to assist the client with behavior modification. This can
be through 1 on 1 groups, different ways like classical and operant conditioning
Explain what cognitive therapy is. - ANSWER focuses on individual client
thoughts and behaviors to solve current problems.
Based on changing the way one thinks.
What is the role of the nurse with cognitive therapy? - ANSWER the nurse will
plan psychoeducation, use of the therapeutic relationship and counseling
interventions. They also reevaluate to determine if intervention was successful
with the therapy.
Explain what cognitive behavioral therapy is (CBT) - ANSWER uses both
cognitive and behavioral approaches to assist a client with anxiety management.
Explain what family therapy is - ANSWER therapy based on family dynamics and
improving family functioning by learning the ways for dealing with mental illness
in the family, improving understanding among family members, maximizing
positive interaction with family members.
Explain what milieu therapy is - ANSWER creates an environment that is
supportive and therapeutic and safe to benefit clients and promote coping within
a safe place.
, Explain what group therapy is - ANSWER therapy focused on helping individuals
develop more functional and satisfying reactions within a group setting with
common feelings, experiences and thoughts that lead to positive behavior
changes from interaction and feedback.
Explain what ECT is used today - ANSWER the induction of a grand-mal seizure
through the application of electrical currents to the brain during anesthesia.
Electrodes are placed bilaterally and an appropriate dose of electrical current is
sent through the brain to enhance the effects of certain neurotransmitters.
What types of disorders can ECT help with? - ANSWER Used as a last resort in
depression, mania, schizophrenia, and psychosis when medication and treatment
has failed.
Side effects from ECT - ANSWER confusion and memory loss, headache
What is the role of the nurse during ECT? - ANSWER often during the pre-op and
post-op phases. Complete assessment should be completed before the client
goes back to the procedure, including medication reconciliation and a signed
consent form. Places the IV, gives pre procedure medications, takes vitals before
and after procedure. After procedure : placing the patient on the side, orient the
client, describe what happened, allow the patient to have therapeutic
communication based on their feelings, assisting them as needed until fully
awake.
What will actually happen during the ECT procedure? - ANSWER When in the
treatment room, the nurse will help position the patient while the CRNA gives the
patient a short acting anesthetic and medication to induce the seizure.a bp cuff,
pulse ox and oxygen may be given as needed and a bite block and electrodes to
monitor EKG.once asleep, the provider will decide how much electricity the client
will get and will shock the client and monitor for any changes, the CRNA will
wake the patient up when finished, all people in the room will monitor for adverse
reactions.
Medications that may be given during ECT - ANSWER atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
What is trans-cranial magnetic stimulation? - ANSWER a noninvasive therapy that
uses magnetic pulsations to stimulate the cerebral cortex of the brain for those
with depression who have not been responsive to medications.
What is vagus nerve stimulation? - ANSWER provides electrical stimulation
through the vagus nerve of the brain through a surgically implanted device to
increase neurotransmitter levels to treat depression resistant to other methods of
treatment and medication.
