NUR 2459 Rasmussen Mental Health Exam 1. Modules 1-3 Correct Question & Answers 2024-225 Latest Update. A+ GRADE Guaranteed.

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 behaviors and improve/ clear thinking. what were the two nursing interventions associated with somatic therapy in early psych nursing? - ANS-insulin therapy ECT therapy 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 maslows 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 maslows hierarchy of needs? - ANS-motivation 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 - ANS-behavioral therapy, cognitive therapy, didactical behavior 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, vagus nerve stimulation explain what behavioral therapy is. - ANS-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? - ANS-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. - ANS-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? - ANS-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) - ANS-uses both cognitive and behavioral 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 behavior 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 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? - ANS-Used as a last resort in depression, mania, schizophrenia, and psychosis when medication and treatment has failed. side effects from ECT - ANS-confusion and memory loss, headache what is the role of the nurse during ECT? - ANS-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? - ANS-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 - ANS-atropine sulfate, succinylcholine, sedative medication and medication to help client relax. what is trans-cranial magnetic stimulation? - ANS-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? - ANS-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? - ANS-fight or flight system- everyone will react differently explain what stress is. - ANS-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? - ANS-alturism and sublimation Role of psychiatric nurse - ANS-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 - ANS-This allows for cardiac monitoring, and also observation of brain activity (seizure activity in the brain). what is the role of the stranger - ANS-first interaction with the nurse and treating the patient with respect. what is the role of the resource person - ANS-will give answers in a way the patient can understand based on their healthcare information. what is the role of the teacher - ANS-the nurse identifies learning needs and information related to the patients healthcare. what is the role of the leader - ANS-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 - ANS-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 - ANS-understands technical devices and clinical interventions needed for the best interest of the patient. what is the role of the counselor - ANS-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 - ANS- 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 - ANS-dealing with anxiety by reaching out for others example of altruism - ANS-It is very cold and a man takes off his jacket and gives it to someone who cannot afford a coat. explain compensation - ANS-covering up a real or perceived weakness by emphasizing a trait one considered more desirable example of compensation - ANS-Someone who is too small to make the wrestling team becomes a talented member of the debating team. explain denial - ANS-refusing to acknowledge the existence of a real situation or feelings associated.