HEALTH EXAM 1 (MODULES 1–3) |
COMPREHENSIVE PSYCHIATRIC
NURSING STUDY GUIDE 2026 | GRADED
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Updated 2026 Questions and Answers | 100% Verified
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,explain significance of early ECT therapy. 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. there was a massive discharge of psychiatric patients from mental hospitals back
to their original communities.
what is significant about the impact of many of the psych patients who needed services were forced onto the streets,
deinstitutionalization? potentially leading them to more harm and crime.
3 main reasons deinstitutionalization was initiated. 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 physiological needs-safety need- love and belong needs- self esteem- self
to top? actualization
what is important to know about maslows hierarchy of motivation is continuous quest for self actualization, can reverse levels based on
needs? life circumstances, lower level needs must be met first before advancement to
higher level psychological needs.
examples of psychotherapy behavioral therapy, cognitive therapy, didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies family, group and milieu therapy
examples of Brian stimulation techniques ECT, trans-cranial magnetic stimulation, vagus nerve stimulation
explain what behavioral therapy is. 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? 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. 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? 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) uses both cognitive and behavioral approaches to assist a client with anxiety
management.
explain what family therapy is 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 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 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 behavior changes from interaction and feedback.
explain what ECT is used today 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? Used as a last resort in depression, mania, schizophrenia, and psychosis when
medication and treatment has failed.
side effects from ECT confusion and memory loss, headache
what is the role of the nurse during ECT? 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? 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.