Module 1-3 Verified correct 2027 latest update
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what are some psychiatric historical events that have occurred in the early
psychiatric era? - 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. - 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? - insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - 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. - 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. - there was a massive discharge of
psychiatric patients from mental hospitals back to their original
communities.
what is significant about the impact of deinstitutionalization? - 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. - 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? -
physiological needs- safety need- love and belong needs- self esteem- self
actualization
,what is important to know about maslows hierarchy of needs? - 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 - behavioral therapy, cognitive therapy,
didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies - family, group and milieu therapy
examples of Brian stimulation techniques - ECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
explain what behavioral therapy is. - 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? - 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. - 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? - 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) - uses both cognitive and
behavioral approaches to assist a client with anxiety management.
explain what family therapy is - 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 - 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 - 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 - 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