NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1
MODULE 1-3 VERIFIED CORRECT 2025 V2 LATEST
UPDATE A+ RATED
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 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 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
explain what stress is. - - CORRECT ANSWER ->>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? - - CORRECT ANSWER ->>alturism and
sublimation
Role of psychiatric nurse - - CORRECT ANSWER ->>maladaptive responses to stressors from the
internal or external environment, evidenced by thoughts, feelings and behaviors that are
MODULE 1-3 VERIFIED CORRECT 2025 V2 LATEST
UPDATE A+ RATED
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 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 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
explain what stress is. - - CORRECT ANSWER ->>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? - - CORRECT ANSWER ->>alturism and
sublimation
Role of psychiatric nurse - - CORRECT ANSWER ->>maladaptive responses to stressors from the
internal or external environment, evidenced by thoughts, feelings and behaviors that are
