NUR 2459 Rasmussen Mental Health Exam 1
Modules 1-3
1. 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.
2. 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.
3. what were the two nursing interventions associated with somatic therapy in early psych
nursing?
Answer
insulin therapy
ECT therapy
4. 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.
,5. 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.
6. explain what deinstitutionalization is.
Answer
there was a massive discharge of psychiatric patients from mental hospitals back to their
original communities.
7. 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.
8. 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
9. 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
,10. what is important to know about maslows hierarchy of needs?
Answer
motivation is continuous quest for self actualization, can reverse levels based on life circum-
stances, lower level needs must be met first before advancement to higher level psychological
needs.
ECT, trans-cranial magnetic stim- ulation, vagus nerve stimulation
14. 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.
15. what is the nurses role with behavioral therapy?
Answer
Role of the nurse
Answer
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
16. explain what cognitive therapy is.
Answer
focuses on individual client thoughts and behaviors to solve current problems.
Based on changing the way one thinks.
17. 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.
18. explain what cognitive behavioral therapy is (CBT)
Answer
uses both cognitive and behavioral approaches to assist a client with anxiety management.
19. explain what family therapy is
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