EXAM 1 2026 FINAL PAPER EXAMINATION
TEST WITH VERIFIED SOLVED QUESTIONS
⩥ explain what early use of phenothiazine was for in early psych
nursing. 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? Answer: insulin therapy
ECT therapy
⩥ explain significance of insulin therapy in the early psych era. 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. 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. Answer: there was a massive
discharge of psychiatric patients from mental hospitals back to their
original communities.
⩥ what is significant about the impact of deinstitutionalization? 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. 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?
Answer: physiological needs-safety need- love and belong needs- self
esteem- self actualization
⩥ what is important to know about maslows hierarchy of needs?
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 Answer: behavioral therapy, cognitive
therapy, didactical behavior therapy
based on a verbal therapist to client interaction
,⩥ examples of open environment therapies Answer: family, group and
milieu therapy
⩥ examples of Brian stimulation techniques Answer: ECT, trans-cranial
magnetic stimulation, vagus nerve stimulation
⩥ explain what behavioral therapy is. 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? 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. 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? 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) Answer: uses both
cognitive and behavioral approaches to assist a client with anxiety
management.
⩥ explain what family therapy is 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 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 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 Answer: the induction of a grand-mal
seizure through the application of electrical currents to the brain during
anesthesia.