NUR 2459 MENTAL HEALTH ACTUAL FINALS
QUESTIONS AND ANSWERS SET A+
✔✔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.
✔✔medications that may be given during ECT - ✔✔atropine sulfate, succinylcholine,
sedative medication and medication to help client relax.
,✔✔what is trans-cranial magnetic stimulation? - ✔✔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? - ✔✔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.
✔✔which system is responsible for how the body changes with stress? - ✔✔fight or
flight system- everyone will react differently
✔✔explain what stress is. - ✔✔maladaptive responses to stressors from the internal or
external environment, evidenced by thoughts, feelings and behaviors that are
incongruent with the local and cultural norms, and interfere with the individual, social,
occupational and physical functioning.
✔✔which two defense mechanisms are always healthy? - ✔✔alturism and sublimation
✔✔Role of psychiatric nurse - ✔✔maladaptive responses to stressors from the internal
or external environment, evidenced by thoughts, feelings and behaviors that are
incongruent with the local and cultural norms, and interfere with the individual, social,
occupational and physical functioning.
✔✔explain the role of EEG and EKG with ECT - ✔✔This allows for cardiac monitoring,
and also observation of brain activity (seizure activity in the brain).
✔✔what is the role of the stranger - ✔✔first interaction with the nurse and treating the
patient with respect.
✔✔what is the role of the resource person - ✔✔will give answers in a way the patient
can understand based on their healthcare information.
✔✔what is the role of the teacher - ✔✔the nurse identifies learning needs and
information related to the patients healthcare.
✔✔what is the role of the leader - ✔✔encourages both the nurse and the patient to
have a democratic relationship and be active in the plan of care.
✔✔what is the role of the surrogate - ✔✔the patient may see the nurse as a mother
figure, sibling, or another nurse in the past where the situation may generate feelings
similar to ones felt in the past.
, ✔✔what is the role of the technical expert - ✔✔understands technical devices and
clinical interventions needed for the best interest of the patient.
✔✔what is the role of the counselor - ✔✔the nurse uses interpersonal techniques to
assist patients in adapting with changes in life experiences and to help them understand
what they are going through in the present situation.
✔✔which of the roles of nurse are most apparent in psychiatric nursing and why -
✔✔Counselor- They must have skills developed to provide helpful individual, group, or
family therapy. The staff nurse should have general knowledge of basic counseling
techniques and to have a therapeutic or helping relationshi
✔✔explain altruism - ✔✔dealing with anxiety by reaching out for others
✔✔example of altruism - ✔✔It is very cold and a man takes off his jacket and gives it to
someone who cannot afford a coat.
✔✔explain compensation - ✔✔covering up a real or perceived weakness by
emphasizing a trait one considered more desirable
✔✔example of compensation - ✔✔Someone who is too small to make the wrestling
team becomes a talented member of the debating team.
✔✔explain denial - ✔✔refusing to acknowledge the existence of a real situation or
feelings associated.
✔✔example of denial - ✔✔A woman who drinks alcohol daily, refuses to acknowledge
she has a problem.
✔✔explain displacement - ✔✔shifting feelings related to an object, person, or situation
to another less threatening object, person or situation.
✔✔example of displacement - ✔✔A man is angry with his boss and when he comes
home, he yells at his children.
✔✔explain projection - ✔✔attributing one's unacceptable thoughts and feelings onto
another who does not have them
✔✔example of projection - ✔✔A woman has feelings for someone other than her
husband, but blames him for being unfaithful.
✔✔Explain identification - ✔✔conscious or unconscious assumption of the
characteristics of another individual or group
QUESTIONS AND ANSWERS SET A+
✔✔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.
✔✔medications that may be given during ECT - ✔✔atropine sulfate, succinylcholine,
sedative medication and medication to help client relax.
,✔✔what is trans-cranial magnetic stimulation? - ✔✔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? - ✔✔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.
✔✔which system is responsible for how the body changes with stress? - ✔✔fight or
flight system- everyone will react differently
✔✔explain what stress is. - ✔✔maladaptive responses to stressors from the internal or
external environment, evidenced by thoughts, feelings and behaviors that are
incongruent with the local and cultural norms, and interfere with the individual, social,
occupational and physical functioning.
✔✔which two defense mechanisms are always healthy? - ✔✔alturism and sublimation
✔✔Role of psychiatric nurse - ✔✔maladaptive responses to stressors from the internal
or external environment, evidenced by thoughts, feelings and behaviors that are
incongruent with the local and cultural norms, and interfere with the individual, social,
occupational and physical functioning.
✔✔explain the role of EEG and EKG with ECT - ✔✔This allows for cardiac monitoring,
and also observation of brain activity (seizure activity in the brain).
✔✔what is the role of the stranger - ✔✔first interaction with the nurse and treating the
patient with respect.
✔✔what is the role of the resource person - ✔✔will give answers in a way the patient
can understand based on their healthcare information.
✔✔what is the role of the teacher - ✔✔the nurse identifies learning needs and
information related to the patients healthcare.
✔✔what is the role of the leader - ✔✔encourages both the nurse and the patient to
have a democratic relationship and be active in the plan of care.
✔✔what is the role of the surrogate - ✔✔the patient may see the nurse as a mother
figure, sibling, or another nurse in the past where the situation may generate feelings
similar to ones felt in the past.
, ✔✔what is the role of the technical expert - ✔✔understands technical devices and
clinical interventions needed for the best interest of the patient.
✔✔what is the role of the counselor - ✔✔the nurse uses interpersonal techniques to
assist patients in adapting with changes in life experiences and to help them understand
what they are going through in the present situation.
✔✔which of the roles of nurse are most apparent in psychiatric nursing and why -
✔✔Counselor- They must have skills developed to provide helpful individual, group, or
family therapy. The staff nurse should have general knowledge of basic counseling
techniques and to have a therapeutic or helping relationshi
✔✔explain altruism - ✔✔dealing with anxiety by reaching out for others
✔✔example of altruism - ✔✔It is very cold and a man takes off his jacket and gives it to
someone who cannot afford a coat.
✔✔explain compensation - ✔✔covering up a real or perceived weakness by
emphasizing a trait one considered more desirable
✔✔example of compensation - ✔✔Someone who is too small to make the wrestling
team becomes a talented member of the debating team.
✔✔explain denial - ✔✔refusing to acknowledge the existence of a real situation or
feelings associated.
✔✔example of denial - ✔✔A woman who drinks alcohol daily, refuses to acknowledge
she has a problem.
✔✔explain displacement - ✔✔shifting feelings related to an object, person, or situation
to another less threatening object, person or situation.
✔✔example of displacement - ✔✔A man is angry with his boss and when he comes
home, he yells at his children.
✔✔explain projection - ✔✔attributing one's unacceptable thoughts and feelings onto
another who does not have them
✔✔example of projection - ✔✔A woman has feelings for someone other than her
husband, but blames him for being unfaithful.
✔✔Explain identification - ✔✔conscious or unconscious assumption of the
characteristics of another individual or group
