NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3 Questions with Correct Answers
Latest Update 2025/2026
what are some psychiatric historical events that have occurred in the early psychiatric era? -
Answers 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. - Answers 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?
- Answers insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - Answers 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. - Answers 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. - Answers there was a massive discharge of psychiatric
patients from mental hospitals back to their original communities.
what is significant about the impact of deinstitutionalization? - Answers 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. - Answers 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? - Answers physiological needs-
safety need- love and belong needs- self esteem- self actualization
what is important to know about maslows hierarchy of needs? - Answers 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 - Answers behavioral therapy, cognitive therapy, didactical behavior
,therapy
based on a verbal therapist to client interaction
examples of open environment therapies - Answers family, group and milieu therapy
examples of Brian stimulation techniques - Answers ECT, trans-cranial magnetic stimulation,
vagus nerve stimulation
explain what behavioral therapy is. - Answers 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? - Answers 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. - Answers 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? - Answers 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) - Answers uses both cognitive and behavioral
approaches to assist a client with anxiety management.
explain what family therapy is - Answers 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 - Answers 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 - Answers 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 - Answers 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? - Answers Used as a last resort in depression, mania,
schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT - Answers confusion and memory loss, headache
what is the role of the nurse during ECT? - Answers 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? - Answers 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 - Answers atropine sulfate, succinylcholine, sedative
medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - Answers 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? - Answers 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? - Answers fight or flight
system- everyone will react differently
explain what stress is. - Answers 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? - Answers alturism and sublimation
Role of psychiatric nurse - Answers 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.
Latest Update 2025/2026
what are some psychiatric historical events that have occurred in the early psychiatric era? -
Answers 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. - Answers 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?
- Answers insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - Answers 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. - Answers 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. - Answers there was a massive discharge of psychiatric
patients from mental hospitals back to their original communities.
what is significant about the impact of deinstitutionalization? - Answers 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. - Answers 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? - Answers physiological needs-
safety need- love and belong needs- self esteem- self actualization
what is important to know about maslows hierarchy of needs? - Answers 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 - Answers behavioral therapy, cognitive therapy, didactical behavior
,therapy
based on a verbal therapist to client interaction
examples of open environment therapies - Answers family, group and milieu therapy
examples of Brian stimulation techniques - Answers ECT, trans-cranial magnetic stimulation,
vagus nerve stimulation
explain what behavioral therapy is. - Answers 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? - Answers 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. - Answers 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? - Answers 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) - Answers uses both cognitive and behavioral
approaches to assist a client with anxiety management.
explain what family therapy is - Answers 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 - Answers 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 - Answers 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 - Answers 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? - Answers Used as a last resort in depression, mania,
schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT - Answers confusion and memory loss, headache
what is the role of the nurse during ECT? - Answers 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? - Answers 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 - Answers atropine sulfate, succinylcholine, sedative
medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - Answers 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? - Answers 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? - Answers fight or flight
system- everyone will react differently
explain what stress is. - Answers 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? - Answers alturism and sublimation
Role of psychiatric nurse - Answers 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.
