NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3(Part A)
Latest 2022 with complete solution
Section 1: Introduction
1. What are some psychiatric historical events that 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.
2. Explain what early use of phenothiazine was for in early psych nursing.
✔✔ It was discovered to help control psychotic behaviors and improve/ clear
thinking.
3. What were the two nursing interventions associated with somatic therapy in early
psych nursing?
✔✔ ECT therapy
✔✔ Insulin therapy
4. Explain the importance 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.
5. What is deinstitutionalization.
✔✔ Massive discharge of psychiatric patients from mental hospitals back to
their original communities.
6. 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.
7. 3 main reasons deinstitutionalization was initiated.
✔✔ Hope that medications would offer a cure
✔✔ the belief that treatment in the hospitals was sadistic
✔✔ Lack of funding at the state and federal level
, 8. 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.
9. What is the order of maslows hierarchy of needs bottom to top?
✔✔ physiological needs-safety need- love and belong needs- self esteem- self
actualization
10. 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.
11. List the examples of psychotherapy
✔✔ behavioral therapy,
✔✔ cognitive therapy,
✔✔ didactical behavior therapy based on a verbal therapist to client interaction
12. List the examples of open environment therapies
✔✔ family, group and milieu therapy
13. Examples of brain stimulation techniques
✔✔ ECT,
✔✔ trans-cranial magnetic stimulation,
✔✔ vagus nerve stimulation.
14. What is behavioral therapy?
✔✔ Is a therapy that 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.
15. The nurses role with behavioral therapy?
✔✔ To use the nursing process to assist the client with behavior modification.
This can be through one-on-one groups, different ways like classical and operant
conditioning
16. Explain what cognitive therapy is.
✔✔ Focuses on individual client thoughts and behaviors to solve current
problems. Based on changing one’s way of thinking.
17. What are the roles of nurses with cognitive therapy?
Latest 2022 with complete solution
Section 1: Introduction
1. What are some psychiatric historical events that 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.
2. Explain what early use of phenothiazine was for in early psych nursing.
✔✔ It was discovered to help control psychotic behaviors and improve/ clear
thinking.
3. What were the two nursing interventions associated with somatic therapy in early
psych nursing?
✔✔ ECT therapy
✔✔ Insulin therapy
4. Explain the importance 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.
5. What is deinstitutionalization.
✔✔ Massive discharge of psychiatric patients from mental hospitals back to
their original communities.
6. 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.
7. 3 main reasons deinstitutionalization was initiated.
✔✔ Hope that medications would offer a cure
✔✔ the belief that treatment in the hospitals was sadistic
✔✔ Lack of funding at the state and federal level
, 8. 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.
9. What is the order of maslows hierarchy of needs bottom to top?
✔✔ physiological needs-safety need- love and belong needs- self esteem- self
actualization
10. 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.
11. List the examples of psychotherapy
✔✔ behavioral therapy,
✔✔ cognitive therapy,
✔✔ didactical behavior therapy based on a verbal therapist to client interaction
12. List the examples of open environment therapies
✔✔ family, group and milieu therapy
13. Examples of brain stimulation techniques
✔✔ ECT,
✔✔ trans-cranial magnetic stimulation,
✔✔ vagus nerve stimulation.
14. What is behavioral therapy?
✔✔ Is a therapy that 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.
15. The nurses role with behavioral therapy?
✔✔ To use the nursing process to assist the client with behavior modification.
This can be through one-on-one groups, different ways like classical and operant
conditioning
16. Explain what cognitive therapy is.
✔✔ Focuses on individual client thoughts and behaviors to solve current
problems. Based on changing one’s way of thinking.
17. What are the roles of nurses with cognitive therapy?
