NUR 2459 Rasmussen Mental Health
Exam 1 Modules 1-3
what is significant about the impact of deinstitutionalization? - CORRECT ANSWER-
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. - CORRECT ANSWER-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? - CORRECT ANSWER-
physiological needs-safety need- love and belong needs- self esteem- self actualization
what is important to know about maslows hierarchy of needs? - CORRECT ANSWER-
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 - CORRECT ANSWER-behavioral therapy, cognitive
therapy, didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies - CORRECT ANSWER-family, group and
milieu therapy
examples of Brian stimulation techniques - CORRECT ANSWER-ECT, trans-cranial
magnetic stimulation, vagus nerve stimulation
explain what behavioral therapy is. - CORRECT ANSWER-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? - CORRECT ANSWER-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. - CORRECT ANSWER-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? - CORRECT ANSWER-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) - CORRECT ANSWER-uses both
cognitive and behavioral approaches to assist a client with anxiety management.
explain what family therapy is - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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? - CORRECT ANSWER-Used as a last
resort in depression, mania, schizophrenia, and psychosis when medication and
treatment has failed.
side effects from ECT - CORRECT ANSWER-confusion and memory loss, headache
what is the role of the nurse during ECT? - CORRECT ANSWER-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 are some psychiatric historical events that have occurred in the early psychiatric
era? - CORRECT ANSWER-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. - CORRECT
ANSWER-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? - CORRECT ANSWER-insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - CORRECT ANSWER-
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. - CORRECT ANSWER-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. - CORRECT ANSWER-there was a massive
discharge of psychiatric patients from mental hospitals back to their original
communities.
what will actually happen during the ECT procedure? - CORRECT ANSWER-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 - CORRECT ANSWER-atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT
ANSWER-fight or flight system- everyone will react differently
Exam 1 Modules 1-3
what is significant about the impact of deinstitutionalization? - CORRECT ANSWER-
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. - CORRECT ANSWER-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? - CORRECT ANSWER-
physiological needs-safety need- love and belong needs- self esteem- self actualization
what is important to know about maslows hierarchy of needs? - CORRECT ANSWER-
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 - CORRECT ANSWER-behavioral therapy, cognitive
therapy, didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies - CORRECT ANSWER-family, group and
milieu therapy
examples of Brian stimulation techniques - CORRECT ANSWER-ECT, trans-cranial
magnetic stimulation, vagus nerve stimulation
explain what behavioral therapy is. - CORRECT ANSWER-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? - CORRECT ANSWER-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. - CORRECT ANSWER-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? - CORRECT ANSWER-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) - CORRECT ANSWER-uses both
cognitive and behavioral approaches to assist a client with anxiety management.
explain what family therapy is - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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? - CORRECT ANSWER-Used as a last
resort in depression, mania, schizophrenia, and psychosis when medication and
treatment has failed.
side effects from ECT - CORRECT ANSWER-confusion and memory loss, headache
what is the role of the nurse during ECT? - CORRECT ANSWER-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 are some psychiatric historical events that have occurred in the early psychiatric
era? - CORRECT ANSWER-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. - CORRECT
ANSWER-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? - CORRECT ANSWER-insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - CORRECT ANSWER-
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. - CORRECT ANSWER-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. - CORRECT ANSWER-there was a massive
discharge of psychiatric patients from mental hospitals back to their original
communities.
what will actually happen during the ECT procedure? - CORRECT ANSWER-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 - CORRECT ANSWER-atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT
ANSWER-fight or flight system- everyone will react differently
