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 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,
, NUR 2459 Rasmussen Mental Health
Exam 1 Modules 1-3
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.
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