NUR 2459 Rasmussen Mental Health Exam
1 Modules 1-3
what are some psychiatric historical events that have occurred in the early psychiatric era? Correct
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. Correct 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?
Correct Answer: insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. Correct 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. Correct 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. Correct 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? Correct 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. Correct 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? Correct Answer: physiological needs-
safety need- love and belong needs- self esteem- self actualization
what is important to know about maslows hierarchy of needs? Correct 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 Correct Answer: behavioral therapy, cognitive therapy, didactical behavior
therapy
,based on a verbal therapist to client interaction
examples of open environment therapies Correct Answer: family, group and milieu therapy
examples of Brian stimulation techniques Correct Answer: ECT, trans-cranial magnetic stimulation,
vagus nerve stimulation
explain what behavioral therapy is. Correct 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? Correct 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. Correct 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? Correct 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) Correct Answer: uses both cognitive and behavioral
approaches to assist a client with anxiety management.
explain what family therapy is Correct 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 Correct 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 Correct 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 Correct 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? Correct Answer: Used as a last resort in depression, mania,
schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT Correct Answer: confusion and memory loss, headache
, what is the role of the nurse during ECT? Correct 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? Correct 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 Correct Answer: atropine sulfate, succinylcholine, sedative
medication and medication to help client relax.
what is trans-cranial magnetic stimulation? Correct 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? Correct 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.
which system is responsible for how the body changes with stress? Correct Answer: fight or flight
system- everyone will react differently
explain what stress is. Correct Answer: 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.
which two defense mechanisms are always healthy? Correct Answer: alturism and sublimation
Role of psychiatric nurse Correct Answer: 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.
explain the role of EEG and EKG with ECT Correct Answer: This allows for cardiac monitoring, and also
observation of brain activity (seizure activity in the brain).
what is the role of the stranger Correct Answer: first interaction with the nurse and treating the patient
with respect.
what is the role of the resource person Correct Answer: will give answers in a way the patient can
understand based on their healthcare information.
1 Modules 1-3
what are some psychiatric historical events that have occurred in the early psychiatric era? Correct
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. Correct 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?
Correct Answer: insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. Correct 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. Correct 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. Correct 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? Correct 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. Correct 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? Correct Answer: physiological needs-
safety need- love and belong needs- self esteem- self actualization
what is important to know about maslows hierarchy of needs? Correct 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 Correct Answer: behavioral therapy, cognitive therapy, didactical behavior
therapy
,based on a verbal therapist to client interaction
examples of open environment therapies Correct Answer: family, group and milieu therapy
examples of Brian stimulation techniques Correct Answer: ECT, trans-cranial magnetic stimulation,
vagus nerve stimulation
explain what behavioral therapy is. Correct 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? Correct 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. Correct 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? Correct 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) Correct Answer: uses both cognitive and behavioral
approaches to assist a client with anxiety management.
explain what family therapy is Correct 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 Correct 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 Correct 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 Correct 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? Correct Answer: Used as a last resort in depression, mania,
schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT Correct Answer: confusion and memory loss, headache
, what is the role of the nurse during ECT? Correct 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? Correct 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 Correct Answer: atropine sulfate, succinylcholine, sedative
medication and medication to help client relax.
what is trans-cranial magnetic stimulation? Correct 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? Correct 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.
which system is responsible for how the body changes with stress? Correct Answer: fight or flight
system- everyone will react differently
explain what stress is. Correct Answer: 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.
which two defense mechanisms are always healthy? Correct Answer: alturism and sublimation
Role of psychiatric nurse Correct Answer: 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.
explain the role of EEG and EKG with ECT Correct Answer: This allows for cardiac monitoring, and also
observation of brain activity (seizure activity in the brain).
what is the role of the stranger Correct Answer: first interaction with the nurse and treating the patient
with respect.
what is the role of the resource person Correct Answer: will give answers in a way the patient can
understand based on their healthcare information.
