NUR 2459 Mental Health Exam 1 Modules
1-3 Q&A 2023-2024
what are some psychiatric historical events that have occurred in the early
psychiatric era? - ANS-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. -
ANS-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? - ANS-insulin therapy ECT therapy
explain significance of insulin therapy in the early psych era. - ANS-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. - ANS-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. - ANS-there was a massive discharge
of psychiatric patients from mental hospitals back to their original
communities.
what is significant about the impact of deinstitutionalization? - ANS-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. - ANS-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? -
ANSphysiological needs-safety need- love and belong needs- self esteem-
self actualizat ion
NUR 2459 Mental Health Exam 1
Modules 1-3 Q&A 2023-2024
what is important to know about maslows hierarchy of needs? -
ANSmotivation 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.
NUR 2459
,examples of psychotherapy - ANS-behavioral therapy, cognitive therapy,
didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies - ANS-family, group and milieu
therap
y
examples of Brian stimulation techniques - ANS-ECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
explain what behavioral therapy is. - ANS-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? - ANS-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. - ANS-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? - ANS-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) - ANS-uses both
cognitive and behavioral approaches to assist a client with anxiety
management
.
explain what family therapy is - ANS-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 - ANS-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 - ANS-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.
NUR 2459
, NUR 2459 Mental Health Exam 1 Modules
1-3 Q&A 2023-2024
2023-2024
explain what ECT is used today - ANS-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.
NUR 2459
, NUR 2459 Mental Health Exam 1 Modules
1-3 Q&A
what types of disorders can ECT help with? - ANS-Used as a last resort in
depression, mania, schizophrenia, and psychosis when medication and
treatment has failed.
side effects from ECT - ANS-confusion and memory loss, headache
what is the role of the nurse during ECT? - ANS-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? - ANS-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 - ANS-atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - ANS-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? - ANS-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.
which system is responsible for how the body changes with stress? -
ANSfight or flight system- everyone will react differently
explain what stress is. - ANS-maladaptive responses to stressors from the
internal or external environment, evidenced by thoughts, feelings and
behaviors that are incongruent with the local and cultural norms, and
interfere with the individual, social, occupational and physical functioning.
2023-2024
which two defense mechanisms are always healthy? - ANS-alturism and
sublimatio
NUR 2459
1-3 Q&A 2023-2024
what are some psychiatric historical events that have occurred in the early
psychiatric era? - ANS-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. -
ANS-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? - ANS-insulin therapy ECT therapy
explain significance of insulin therapy in the early psych era. - ANS-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. - ANS-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. - ANS-there was a massive discharge
of psychiatric patients from mental hospitals back to their original
communities.
what is significant about the impact of deinstitutionalization? - ANS-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. - ANS-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? -
ANSphysiological needs-safety need- love and belong needs- self esteem-
self actualizat ion
NUR 2459 Mental Health Exam 1
Modules 1-3 Q&A 2023-2024
what is important to know about maslows hierarchy of needs? -
ANSmotivation 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.
NUR 2459
,examples of psychotherapy - ANS-behavioral therapy, cognitive therapy,
didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies - ANS-family, group and milieu
therap
y
examples of Brian stimulation techniques - ANS-ECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
explain what behavioral therapy is. - ANS-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? - ANS-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. - ANS-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? - ANS-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) - ANS-uses both
cognitive and behavioral approaches to assist a client with anxiety
management
.
explain what family therapy is - ANS-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 - ANS-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 - ANS-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.
NUR 2459
, NUR 2459 Mental Health Exam 1 Modules
1-3 Q&A 2023-2024
2023-2024
explain what ECT is used today - ANS-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.
NUR 2459
, NUR 2459 Mental Health Exam 1 Modules
1-3 Q&A
what types of disorders can ECT help with? - ANS-Used as a last resort in
depression, mania, schizophrenia, and psychosis when medication and
treatment has failed.
side effects from ECT - ANS-confusion and memory loss, headache
what is the role of the nurse during ECT? - ANS-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? - ANS-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 - ANS-atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - ANS-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? - ANS-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.
which system is responsible for how the body changes with stress? -
ANSfight or flight system- everyone will react differently
explain what stress is. - ANS-maladaptive responses to stressors from the
internal or external environment, evidenced by thoughts, feelings and
behaviors that are incongruent with the local and cultural norms, and
interfere with the individual, social, occupational and physical functioning.
2023-2024
which two defense mechanisms are always healthy? - ANS-alturism and
sublimatio
NUR 2459
