NUR 2459 Mental Health Exam Rasmussen Modules 1-3 with 240+ questions
& correct answers
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.
& correct answers
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.
