NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1 MODULES 1-3
QUESTIONS AND ANSWERS GRADED A+ LATEST UPDATE.
what are some psychiatric historical events that have occurred in the early
psychiatric era? ANS >> 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. ANS >> it
was discovered to help control psychotic behaviours and improve/ clear thinking.
what were the two nursing interventions associated with somatic therapy in early
psych nursing? ANS >> insulin therapy
ECT therapy
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explain significance of insulin therapy in the early psych era. ANS >> 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. ANS >> 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. ANS >> there was a massive discharge of
psychiatric patients from mental hospitals back to their original communities.
what is significant about the impact of deinstitutionalization? ANS >> 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. ANS >> 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 mallows hierarchy of needs bottom to top? ANS >>
physiological needs-safety need- love and belong needs- self esteem- self
actualization
what is important to know about mallows hierarchy of needs? ANS >>
motivation is continuous quest for self actualization, can reverse levels based on
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life circumstances, lower-level needs must be met first before advancement to
higher level psychological needs.
examples of psychotherapy ANS >> behavioural therapy, cognitive therapy,
didactical behaviour therapy
based on a verbal therapist to client interaction
examples of open environment therapies ANS >> family, group and milieu
therapy
examples of Brian stimulation techniques ANS >> ECT, trans-cranial magnetic
stimulation, vague nerve stimulation
explain what behavioural therapy is. ANS >> aims to modify maladaptive
behaviour patterns.
based that a behaviour is learned and has consequences and abnormal behaviour
results from an attempt to avoid painful feelings and reduce anxiety.
what is the nurse’s role with behavioural therapy? ANS >> Role of the nurse: to
use the nursing process to assist the client with behaviour modification. This can
be through 1 on 1 groups, different ways like classical and operant conditioning
explain what cognitive therapy is. ANS >> focuses on individual client thoughts
and behaviours to solve current problems.
Based on changing the way one thinks.
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what is the role of the nurse with cognitive therapy? ANS >> the nurse will plan
psychoeducation, use of the therapeutic relationship and counselling
interventions. They also reevaluate to determine if intervention was successful
with the therapy.
explain what cognitive behavioural therapy is (CBT) ANS >> uses both cognitive
and behavioural approaches to assist a client with anxiety management.
explain what family therapy is ANS >> 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 ANS >> 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 ANS >> 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 behaviour
changes from interaction and feedback.
explain what ECT is used today ANS >> the induction of a grand-mal seizure
through the application of electrical currents to the brain during anaesthesia.
Electrodes are placed bilaterally and an appropriate dose of electrical current is
sent through the brain to enhance the effects of certain neurotransmitters.