EXAM 2
Mental Health I
Metal Health: state of mind, how you feel, how you react
Relates to the ability to see oneself as others do
These individuals are trying to fit into a culture where one lives
It’s a state of well-being, productive, be able to deal and cope with life’s stressors
Mental Illness:
The loss of ability to respond to the environment
Maladaptive responses to stressors from the internal and external environment as
evidenced by thoughts, feelings and behaviors that are incongruent with the local and
cultural norms.
Insulin Shock Theory: German psychiatrist Manfred Sakel in 1933
Used mostly in patients with schizophrenia
Give them so much insulin it puts pt in coma
Lobotomy Therapy:
Scrape parts of the pts prefrontal cortex out
Did this to prevent delusions and get pt to normal behavior, but killed them.
Electroconvulsive Therapy (ECT): 1937- still used NOW
Treatment team includes psychiatrist, anesthesiologist and two or more nurses
Induction of a grand mal seizure to put the patient into a coma/stupor
Used on a lot of pt’s with schizophrenia and major depression
o One of the most effective treatments of major depression
It is indicated when:
o Pt’s are suicidal or homicidal
o Pt’s are in an extreme stupor or rage
o The risk of ECT outweigh the risk of other treatments
o Pt isn’t responding to medications
Nursing Role
o Assessment:
Cardio, pulmonary, urine and blood labs
Consent must be given from pt unless unable to
o Planning:
Treatment is usually given in the mornings
Pt is NPO for 6-8 hours before
ONE HOUR before treatment:
Get base vitals, have pt void and remove dentures, glasses,
contact lens, jewelry and hair pens
THIRTY minutes before treatment:
Get pt in position (supine on table), give pt pretreatment
medications
BP cuff on pt leg, airway/bite block to ensure airway, electrodes
placed (bi or uni) on the temples
o Pretreatment medications:
This study source was downloaded by 100000901307859 from CourseHero.com on 10-14-2025 06:20:24 GMT -05:00
https://www.coursehero.com/file/251533438/Mental-Health-Idocx/
, Robinul (glycopyrrolate): given IM to decrease secretions and counteract
vagal stimulation induced by the ECT (bradycardia)
Brevital (methohexital): most common used anesthetic agent, increases
the duration of the seizure
Succinylcholine chloride: given IV to prevent severe muscle contractions
during the seizure (will paralyze respiratory muscles too, pt is oxygenate
with pure O2)
o Post Nursing Treatment
Vitals every 15 mins for the first hour
Orient the pt once alert
Stay with pt until fully alert or able to perform activities
Assure pt of what occurred and that memory loss and confusion will
subside
Patients at risk for complication with ECT:
o Severe osteoporosis
o Acute or chronic pulmonary disorder
o High risk or complicated pregnancy
DSM V (5):
Mental diagnosis book used to diagnose mental pts
Describes all the mental disorders
If you have a disease then you can get social security
ACTS for Mental Health:
Hill Burton Act 1930: first major law to address mental illness, provided money to build
hospitals
National Mental Health Act of 1946: more money funding
Mental Health Care in the community:
Primary: reduce the incidence of mental disorders within the population
o Preventing the pt from going to the hospital
o Focuses on pt at risk for mental illness, find ways for them to cope with stress,
and target and diminish harmful forces within their environment
**focus on identifying the population at risk and increasing ability to cope
Secondary: interventions aimed at minimizing early symptoms of psychiatric illness and
directed toward reducing the prevalence and duration of the illness
o Pt is in hospital in your care so you want to help get them out
o Accomplished through early identification of problems and prompt initiation of
effective treatment
**focus on early identification
Tertiary: services aimed at reducing the residual defects that are associated with severe
and persistent mental health
o Rehab pt and take meds to not end up in hospital
o Focuses on preventing complications of the illness, promoting rehab that is
directed toward achievement of each individuals maximum level of functioning
**focus on prevention of complications
This study source was downloaded by 100000901307859 from CourseHero.com on 10-14-2025 06:20:24 GMT -05:00
https://www.coursehero.com/file/251533438/Mental-Health-Idocx/
Mental Health I
Metal Health: state of mind, how you feel, how you react
Relates to the ability to see oneself as others do
These individuals are trying to fit into a culture where one lives
It’s a state of well-being, productive, be able to deal and cope with life’s stressors
Mental Illness:
The loss of ability to respond to the environment
Maladaptive responses to stressors from the internal and external environment as
evidenced by thoughts, feelings and behaviors that are incongruent with the local and
cultural norms.
Insulin Shock Theory: German psychiatrist Manfred Sakel in 1933
Used mostly in patients with schizophrenia
Give them so much insulin it puts pt in coma
Lobotomy Therapy:
Scrape parts of the pts prefrontal cortex out
Did this to prevent delusions and get pt to normal behavior, but killed them.
Electroconvulsive Therapy (ECT): 1937- still used NOW
Treatment team includes psychiatrist, anesthesiologist and two or more nurses
Induction of a grand mal seizure to put the patient into a coma/stupor
Used on a lot of pt’s with schizophrenia and major depression
o One of the most effective treatments of major depression
It is indicated when:
o Pt’s are suicidal or homicidal
o Pt’s are in an extreme stupor or rage
o The risk of ECT outweigh the risk of other treatments
o Pt isn’t responding to medications
Nursing Role
o Assessment:
Cardio, pulmonary, urine and blood labs
Consent must be given from pt unless unable to
o Planning:
Treatment is usually given in the mornings
Pt is NPO for 6-8 hours before
ONE HOUR before treatment:
Get base vitals, have pt void and remove dentures, glasses,
contact lens, jewelry and hair pens
THIRTY minutes before treatment:
Get pt in position (supine on table), give pt pretreatment
medications
BP cuff on pt leg, airway/bite block to ensure airway, electrodes
placed (bi or uni) on the temples
o Pretreatment medications:
This study source was downloaded by 100000901307859 from CourseHero.com on 10-14-2025 06:20:24 GMT -05:00
https://www.coursehero.com/file/251533438/Mental-Health-Idocx/
, Robinul (glycopyrrolate): given IM to decrease secretions and counteract
vagal stimulation induced by the ECT (bradycardia)
Brevital (methohexital): most common used anesthetic agent, increases
the duration of the seizure
Succinylcholine chloride: given IV to prevent severe muscle contractions
during the seizure (will paralyze respiratory muscles too, pt is oxygenate
with pure O2)
o Post Nursing Treatment
Vitals every 15 mins for the first hour
Orient the pt once alert
Stay with pt until fully alert or able to perform activities
Assure pt of what occurred and that memory loss and confusion will
subside
Patients at risk for complication with ECT:
o Severe osteoporosis
o Acute or chronic pulmonary disorder
o High risk or complicated pregnancy
DSM V (5):
Mental diagnosis book used to diagnose mental pts
Describes all the mental disorders
If you have a disease then you can get social security
ACTS for Mental Health:
Hill Burton Act 1930: first major law to address mental illness, provided money to build
hospitals
National Mental Health Act of 1946: more money funding
Mental Health Care in the community:
Primary: reduce the incidence of mental disorders within the population
o Preventing the pt from going to the hospital
o Focuses on pt at risk for mental illness, find ways for them to cope with stress,
and target and diminish harmful forces within their environment
**focus on identifying the population at risk and increasing ability to cope
Secondary: interventions aimed at minimizing early symptoms of psychiatric illness and
directed toward reducing the prevalence and duration of the illness
o Pt is in hospital in your care so you want to help get them out
o Accomplished through early identification of problems and prompt initiation of
effective treatment
**focus on early identification
Tertiary: services aimed at reducing the residual defects that are associated with severe
and persistent mental health
o Rehab pt and take meds to not end up in hospital
o Focuses on preventing complications of the illness, promoting rehab that is
directed toward achievement of each individuals maximum level of functioning
**focus on prevention of complications
This study source was downloaded by 100000901307859 from CourseHero.com on 10-14-2025 06:20:24 GMT -05:00
https://www.coursehero.com/file/251533438/Mental-Health-Idocx/
