NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3
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1. what are some psychiatric historical events that have occurred in the early
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psychiatric era?: Answer- 18th century-
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G state asylums created, 600,000 residents were in them, 1st school or psychiatric n
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ursing was created in 1882, deinstitutionalization, shift in role of the nurse from cust
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odial care to professional care.
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2. explain what early use of phenothiazine was for in early psych nursing.: A
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nswer-
GG itwas discovered to help control psychotic behaviors and improve/ clear thinking.
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3. what were the two nursing interventions associated with somatic therapy in
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early psych nursing?: Answer- insulin therapy
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ECT therapy
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4. explain significance of insulin therapy in the early psych era.: Answer-
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GGG insulin was administered until the client was comatose, this could kill the patient
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because theblood sugar could drop below normal levels, but it helped relive psych
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symptoms.
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5. explain significance of early ECT therapy.: Answer-
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1G/G20
,GG an electrical stimulus was given tothe brain with the result of a grand-
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map seizure. now we can control the shock givenand give medications to sedate the
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G client and stimulate the seizure and for proper monitoring throughout the procedur
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e.
6. explain what deinstitutionalization is.: there was a massive discharge of psy-
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chiatric patients from mental hospitals back to their original communities.
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7. what is significant about the impact of deinstitutionalization?: many of the p
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sych patients who needed services were forced onto the streets, potentially leadingth
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em to more harm and crime.
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8. 3 main reasons deinstitutionalization was initiated.: the belief that treatmenti
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n the hospitals was inhumane
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hope that medications would offer a cure la
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ck of funding at the state and federal level
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9. what is the order of maslows hierarchy of needs bottom to top?: physiologi-
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cal needs-safety need- love and belong needs- self esteem- self actualization
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10. what is important to know about maslows hierarchy of needs?: motivationi
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s continuous quest for self actualization, can reverse levels based on life circum-
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G stances, lower level needs must be met first before advancement to higher level p
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sychological needs. G
2G/G20
,11. examples of psychotherapy: behavioral therapy, cognitive therapy, didactical
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behavior therapy
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based on a verbal therapist to client interaction
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12. examples of open environment therapies: family, group and milieu therapy
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13. examples of Brian stimulation techniques: ECT, trans-cranial magnetic stim-
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ulation, vagus nerve stimulation
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14. explain what behavioral therapy is.: aims to modify maladaptive behavior
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patterns.
3G/G20
, based that a behavior is learned and has consequences and abnormal behaviorr
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esults from an attempt to avoid painful feelings and reduce anxiety.
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15. what is the nurses role with behavioral therapy?: Role of the nurse: to use then
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ursing process to assist the client with behavior modification. This can be through1
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on 1 groups, different ways like classical and operant conditioning
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16. explain what cognitive therapy is.: focuses on individual client thoughts and
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behaviors to solve current problems.
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Based on changing the way one thinks.
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17. what is the role of the nurse with cognitive therapy?: the nurse will plan ps
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ychoeducation, use of the therapeutic relationship and counseling interventions.Th
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ey also reevaluate to determine if intervention was successful with the therapy.
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18. explain what cognitive behavioral therapy is (CBT): uses both cognitive and
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behavioral approaches to assist a client with anxiety management.
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19. explain what family therapy is: therapy based on family dynamics and improv-
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ing family functioning by learning the ways for dealing with mental illness in the family,i
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mproving understanding among family members, maximizing positive interaction w
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ith family members.
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20. explain what milieu therapy is: creates an environment that is supportive andt
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herapeutic and safe to benefit clients and promote coping within a safe place.
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4G/G20
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\
1. what are some psychiatric historical events that have occurred in the early
G G G G G G G G G G G G
psychiatric era?: Answer- 18th century-
G G GG G
G state asylums created, 600,000 residents were in them, 1st school or psychiatric n
G G G G G G G G G G G G
ursing was created in 1882, deinstitutionalization, shift in role of the nurse from cust
G G G G G G G G G G G G G
odial care to professional care.
G G G G
2. explain what early use of phenothiazine was for in early psych nursing.: A
G G G G G G G G G G G G
nswer-
GG itwas discovered to help control psychotic behaviors and improve/ clear thinking.
G G G G G G G G G G G
3. what were the two nursing interventions associated with somatic therapy in
G G G G G G G G G G G
early psych nursing?: Answer- insulin therapy
G G G GGG G
ECT therapy
G
4. explain significance of insulin therapy in the early psych era.: Answer-
G G G G G G G G G G
GGG insulin was administered until the client was comatose, this could kill the patient
G G G G G G G G G G G G G
because theblood sugar could drop below normal levels, but it helped relive psych
G G G G G G G G G G G G G
symptoms.
G
5. explain significance of early ECT therapy.: Answer-
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1G/G20
,GG an electrical stimulus was given tothe brain with the result of a grand-
G G G G G G G G G G G G G
map seizure. now we can control the shock givenand give medications to sedate the
G G G G G G G G G G G G G G
G client and stimulate the seizure and for proper monitoring throughout the procedur
G G G G G G G G G G G
e.
6. explain what deinstitutionalization is.: there was a massive discharge of psy-
G G G G G G G G G G
chiatric patients from mental hospitals back to their original communities.
G G G G G G G G G G
7. what is significant about the impact of deinstitutionalization?: many of the p
G G G G G G G G G G G
sych patients who needed services were forced onto the streets, potentially leadingth
G G G G G G G G G G G G
em to more harm and crime.
G G G G G
8. 3 main reasons deinstitutionalization was initiated.: the belief that treatmenti
G G G G G G G G G G
n the hospitals was inhumane
G G G G
hope that medications would offer a cure la
G G G G G G G
ck of funding at the state and federal level
G G G G G G G G
9. what is the order of maslows hierarchy of needs bottom to top?: physiologi-
G G G G G G G G G G G G
cal needs-safety need- love and belong needs- self esteem- self actualization
G G G G G G G G G G G
10. what is important to know about maslows hierarchy of needs?: motivationi
G G G G G G G G G G G
s continuous quest for self actualization, can reverse levels based on life circum-
G G G G G G G G G G G G
G stances, lower level needs must be met first before advancement to higher level p
G G G G G G G G G G G G G
sychological needs. G
2G/G20
,11. examples of psychotherapy: behavioral therapy, cognitive therapy, didactical
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behavior therapy
G
based on a verbal therapist to client interaction
G G G G G G G
12. examples of open environment therapies: family, group and milieu therapy
G G G G G G G G G
13. examples of Brian stimulation techniques: ECT, trans-cranial magnetic stim-
G G G G G G G G
ulation, vagus nerve stimulation
G G G G
14. explain what behavioral therapy is.: aims to modify maladaptive behavior
G G G G G G G G G G
patterns.
3G/G20
, based that a behavior is learned and has consequences and abnormal behaviorr
G G G G G G G G G G G G
esults from an attempt to avoid painful feelings and reduce anxiety.
G G G G G G G G G G
15. what is the nurses role with behavioral therapy?: Role of the nurse: to use then
G G G G G G G G G G G G G G G
ursing process to assist the client with behavior modification. This can be through1
G G G G G G G G G G G G G G
on 1 groups, different ways like classical and operant conditioning
G G G G G G G G G
16. explain what cognitive therapy is.: focuses on individual client thoughts and
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behaviors to solve current problems.
G G G G
Based on changing the way one thinks.
G G G G G G
17. what is the role of the nurse with cognitive therapy?: the nurse will plan ps
G G G G G G G G G G G G G G
ychoeducation, use of the therapeutic relationship and counseling interventions.Th
G G G G G G G G G
ey also reevaluate to determine if intervention was successful with the therapy.
G G G G G G G G G G G
18. explain what cognitive behavioral therapy is (CBT): uses both cognitive and
G G G G G G G G G G G
behavioral approaches to assist a client with anxiety management.
G G G G G G G G
19. explain what family therapy is: therapy based on family dynamics and improv-
G G G G G G G G G G G
ing family functioning by learning the ways for dealing with mental illness in the family,i
G G G G G G G G G G G G G G G G
mproving understanding among family members, maximizing positive interaction w
G G G G G G G G
ith family members.
G G
20. explain what milieu therapy is: creates an environment that is supportive andt
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herapeutic and safe to benefit clients and promote coping within a safe place.
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4G/G20