NUR 2459 RASMUSSEN MENTAL
HEALTH EXAM 1 MODULES 1-3
QUESTIONS & ANSWERS 100%
SOLVED
what are some psychiatric historical events that have occurred in the early
psychiatric era? - ANSWER18th 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. - ANSWERit
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? - ANSWERinsulin therapy
ECT therapy
what is the role of the nurse when a disaster occurs? - ANSWERan event that
overwhelms local resources and threatens the function and safety of the community.
Can cause destruction and leave victims with a sense of anxiety and damaged
sense of safety.
The nurse can provide interventions that not only help the patient but help the
community to address needs.
what are protective factors for a client in crisis? - ANSWERResilient temperament
Social competency
Skills in problem solving, coping, conflict resolution.
Positive expectation, optimism for the future, identification of future goals.
Connectedness to family, school, community.
Presence and involvement of caring people.
Integration in social networks.
Culture and religious beliefs that discourage suicide
Access to social services and clinical healthcare.
Support with ongoing disorders
Restricted access to suicidal methods.
explain culture - ANSWERa particular society's entire way of living, encompassing
shared patterns of belief, feeling, and knowledge that guide people's conduct are
passed down from generation to generation
,explain ethnicity - ANSWERgroups of people who identify with each other because
of a shared cultural, national, or ancestral heritage.
explain spirituality - ANSWERthe human concept that gives meaning and sense of
purpose to an individual's life. Religion is a set of beliefs, values, and rights adopted
by a group of people. This is one way in which an individual's spirituality is
expressed.
examples of open environment therapies - ANSWERfamily, group and milieu therapy
examples of Brian stimulation techniques - ANSWERECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
explain what behavioral therapy is. - ANSWERaims 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? - ANSWERRole 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 significance of insulin therapy in the early psych era. - ANSWERinsulin 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. - ANSWERan 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. - ANSWERthere was a massive discharge of
psychiatric patients from mental hospitals back to their original communities.
what is significant about the impact of deinstitutionalization? - ANSWERmany 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. - ANSWERthe 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? -
ANSWERphysiological needs-safety need- love and belong needs- self esteem- self
actualization
what is important to know about maslows hierarchy of needs? - ANSWERmotivation
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 - ANSWERbehavioral therapy, cognitive therapy,
didactical behavior therapy
based on a verbal therapist to client interaction
explain what cognitive therapy is. - ANSWERfocuses 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? - ANSWERthe 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) - ANSWERuses both cognitive
and behavioral approaches to assist a client with anxiety management.
explain what family therapy is - ANSWERtherapy 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 - ANSWERcreates an environment that is supportive
and therapeutic and safe to benefit clients and promote coping within a safe place.
explain what group therapy is - ANSWERtherapy 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 - ANSWERthe 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? - ANSWERUsed as a last resort in
depression, mania, schizophrenia, and psychosis when medication and treatment
has failed.
side effects from ECT - ANSWERconfusion and memory loss, headache
what is the role of the nurse during ECT? - ANSWERoften 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.
HEALTH EXAM 1 MODULES 1-3
QUESTIONS & ANSWERS 100%
SOLVED
what are some psychiatric historical events that have occurred in the early
psychiatric era? - ANSWER18th 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. - ANSWERit
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? - ANSWERinsulin therapy
ECT therapy
what is the role of the nurse when a disaster occurs? - ANSWERan event that
overwhelms local resources and threatens the function and safety of the community.
Can cause destruction and leave victims with a sense of anxiety and damaged
sense of safety.
The nurse can provide interventions that not only help the patient but help the
community to address needs.
what are protective factors for a client in crisis? - ANSWERResilient temperament
Social competency
Skills in problem solving, coping, conflict resolution.
Positive expectation, optimism for the future, identification of future goals.
Connectedness to family, school, community.
Presence and involvement of caring people.
Integration in social networks.
Culture and religious beliefs that discourage suicide
Access to social services and clinical healthcare.
Support with ongoing disorders
Restricted access to suicidal methods.
explain culture - ANSWERa particular society's entire way of living, encompassing
shared patterns of belief, feeling, and knowledge that guide people's conduct are
passed down from generation to generation
,explain ethnicity - ANSWERgroups of people who identify with each other because
of a shared cultural, national, or ancestral heritage.
explain spirituality - ANSWERthe human concept that gives meaning and sense of
purpose to an individual's life. Religion is a set of beliefs, values, and rights adopted
by a group of people. This is one way in which an individual's spirituality is
expressed.
examples of open environment therapies - ANSWERfamily, group and milieu therapy
examples of Brian stimulation techniques - ANSWERECT, trans-cranial magnetic
stimulation, vagus nerve stimulation
explain what behavioral therapy is. - ANSWERaims 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? - ANSWERRole 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 significance of insulin therapy in the early psych era. - ANSWERinsulin 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. - ANSWERan 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. - ANSWERthere was a massive discharge of
psychiatric patients from mental hospitals back to their original communities.
what is significant about the impact of deinstitutionalization? - ANSWERmany 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. - ANSWERthe 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? -
ANSWERphysiological needs-safety need- love and belong needs- self esteem- self
actualization
what is important to know about maslows hierarchy of needs? - ANSWERmotivation
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 - ANSWERbehavioral therapy, cognitive therapy,
didactical behavior therapy
based on a verbal therapist to client interaction
explain what cognitive therapy is. - ANSWERfocuses 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? - ANSWERthe 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) - ANSWERuses both cognitive
and behavioral approaches to assist a client with anxiety management.
explain what family therapy is - ANSWERtherapy 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 - ANSWERcreates an environment that is supportive
and therapeutic and safe to benefit clients and promote coping within a safe place.
explain what group therapy is - ANSWERtherapy 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 - ANSWERthe 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? - ANSWERUsed as a last resort in
depression, mania, schizophrenia, and psychosis when medication and treatment
has failed.
side effects from ECT - ANSWERconfusion and memory loss, headache
what is the role of the nurse during ECT? - ANSWERoften 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.
