NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1
2024 ACTUAL EXAM COMPLETE 250 QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
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
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
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 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.
what will actually happen during the ECT procedure? - ANSWERWhen 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 - ANSWERatropine sulfate, succinylcholine,
sedative medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - ANSWERa 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? - ANSWERprovides 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.
which system is responsible for how the body changes with stress? - ANSWERfight or
flight system- everyone will react differently
explain what stress is. - ANSWERmaladaptive responses to stressors from the internal
or external environment, evidenced by thoughts, feelings and behaviors that are
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