NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
NURS 415 Exam 1 – UPDATED Questions with
100% Verified Answers
Section 1: Tradition, Views, Western (Q1–Q13)
Question & Answer
Q1 western tradition views
A - emphasis on individuality - mind and body are seen as separate entities - focus on eliminating the
disease - always moving forward - preparing for the future is key to success
Q2 eastern tradition views
A - "Eastern tradition and some Western collective cultures see the family as the basis for a person's
identity" - family group decision making - reincarnation - born into fate - mental illness could be
viewed as punishment for past life behaviors
Q3 indigenous tradition views
A - place of humans in the natural world - holistic view - person is an entity in relation to others -
disease may be considered lack of harmony with others or the environment
Q4 impact of culture
A communication: - verbal and non verbal - hearing and sight impaired - language beliefs values
etiquette - rules for polite behavior vary from culture to culture
Q5 diagnosis for psychiatric illness
A - most tools are of european descent - clues and cultural variations are not represented and may be
missed - somatization (psychological distress may be experienced as a physical problem due to
blending of mind/body) - DSM V "the cultural formulation interview"
Q6 LGBTQ+ health disparities
A fear of discrimination bullying lack of education and training of medical personnel access to care
lack of significant clinical research on LGBTQ+ health-related issues
Q7 What is ECT?
A a physical therapy in which with the help of electrodes, electrical current is passed to the brain to
produce generalized seizures
- modified ECT is a controlled medical procedure in which a seizure is induced in an anaesthetized
patient to produce a therapeutic effect
- requires a team of individuals
- psychiatric nurses have an important role in caring for patients who receive ECT
Q8 primary use of ECT
A - a need for rapid, definitive response due to the severity of a psychiatric or medical condition
- risks of other treatment outweigh the risks of ECT
- a history of poor medication response or good ECT response in one or more previous episodes of
the illness
- patient preference
Page 1 of 21
,NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q9 secondary use of ECT
A -Treatment resistance -Intolerance or adverse effects with pharmacotherapy that are less likely or
less severe with ECT -Deterioration of the patient's psychiatric or medical condition that creates a
need for a rapid, definitive response
Q10 what disorders is ECT used for?
A severe major depression acute mania, mood disorders with psychotic features, and catatonia
severe depression acute mania intolerance to side effects of medication or other treatments
deterioration in condition, or appearance of suicidality or pronounced lethargy acute catatonia
Q11 contraindications to ECT
A brain tumors, space occupying lesions, and other brain diseases that cause increased intracranial
pressure
Q12 Nursing care in ECT
A - electroconvulsive therapy is treated like a minor surgical procedure that requires preoperative
preparation and postoperative care - provide educational and emotional support - pre-treatment
planning and assessment - preparing and monitoring the patient during the actual procedure -
post-treatment care and evaluation
Q13 providing emotional and education support during ECT
A - explain the procedure to the patient - obtain an informed consent from the patient - respond to
patient's concerns and feelings - educate the patient concerning the procedure and explain to the
patient necessary tasks associated with ECT - initiate education interventions based on knowledge
deficits
Section 2: Purpose, Care, Brain (Q14–Q26)
Question & Answer
Q14 pre treatment nursing care ECT
A - preparation of treatment suite for the ECT procedure - an adjustable height stretcher trolley -
complete the pre-treatment check list - the patient's identity is verified and the patient wears an
identity bracelet - ensure safekeeping of the patient's valuable - NPO for minimum 4 hours before
treatment to prevent possible aspiration during anesthesia - the patient's hair should be clean and
dry to allow for electrode contact - hairpins, bracelets, body piercings should be removed to avoid
burns - the patient should be encouraged to pass urine before the treatment to avoid incontinence
during - dentures, glasses, prosthesis, hearing aids, contact lenses should be removed - minimize
anxiety and waiting times - standard practice regarding general anesthesia cares
Page 2 of 21
, NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q15 nursing care during ECT
A Transfer the patient on a trolley from the waiting room to the ECT room on a bed and placed in a
comfortable dorsal position or supine position. A small pillow is placed under the lumber curve. •
Apply ECG electrodes, BP cuff, and pulse oximetry sensor (not on same extremity as BP cuff). • Give
a short acting anesthetic agent. Thiopental.25mg to.5 mg, IV and succinyl choline30-50 mg. The
dose of drug may vary from patient to patient. • Prepare EEG electrodes, per treatment
specifications. • Prepare scalp and stimulus ECT electrodes (unilateral vs. bilateral) and apply paste
to electrodes. • Support the shoulder and arms of the patient. Restraint the thigh with the help of a
sheet. • Hyperextension of the head with support to the chin. •Administer oxygen •Apply jelly to
the electrodes •Make the observations of the convulsions. •The presence of initial tonic stage which
lasts for 10-15 seconds followed by clonic stage which lasts for 25-30 sec then there is a phase of
muscular relaxation with stertorus respiration ie flaccid stage. •Do suction immediately •Restore
respiration by giving O2 if necessary.
Q16 post ECT care
A Observe and record the vital parameters • Place the patient on side lying position, clean the
secretions • Transfer the patient from recovery room. record vital signs every 15 min for 30 min
and once in every 30 min till the patient recover to the normal stage. • Allow the patient to sleep
for 30 min to one hour • Reassure the client and reorient to the ward • Allow the patient to have
tea or any drinks • Record the procedure
Q17 brain functions
A Monitor changes in the external world Monitor composition of body fluids Regulate contraction of
skeletal muscles Regulate internal organs Initiate and regulate basic drives (sex, hunger, thirst,
aggression, self protection) Mediate conscious sensations Store and retrieve memories Regulate
Mood and emotions Think and perform intellectual functions Regulate the sleep cycle Produce and
interpret language Process Visual and Auditory Data
Q18 brain stem primitive brain purpose
A Direct connection to the spinal cord Sleep, heart rate, breathing, digestion, breathing
Q19 hypothalamus purpose
A Controls basic drives such as eating, drinking, sex Linking brain functions to internal organs Sensory
information processing Regulating sleep and wakefulness, conscious mental activity Pituitary
hormone regulation
Q20 cerebellum purpose
A integrates sensory information concerning position of body parts - coordinates skeletal muscle
activity - maintains posture
Q21 basal ganglia purpose
A coordinates involuntary movement and muscle tone
Q22 Cerebral cortex purpose
A senses, language, memory, behaviour and consciousness
Q23 what is the limbic system
A - reward center of the brain, thought to play a role in addiction - hypothalamus, thalamus, amygdala
and hippocampus
Page 3 of 21
NURS 415 Exam 1 – UPDATED Questions with
100% Verified Answers
Section 1: Tradition, Views, Western (Q1–Q13)
Question & Answer
Q1 western tradition views
A - emphasis on individuality - mind and body are seen as separate entities - focus on eliminating the
disease - always moving forward - preparing for the future is key to success
Q2 eastern tradition views
A - "Eastern tradition and some Western collective cultures see the family as the basis for a person's
identity" - family group decision making - reincarnation - born into fate - mental illness could be
viewed as punishment for past life behaviors
Q3 indigenous tradition views
A - place of humans in the natural world - holistic view - person is an entity in relation to others -
disease may be considered lack of harmony with others or the environment
Q4 impact of culture
A communication: - verbal and non verbal - hearing and sight impaired - language beliefs values
etiquette - rules for polite behavior vary from culture to culture
Q5 diagnosis for psychiatric illness
A - most tools are of european descent - clues and cultural variations are not represented and may be
missed - somatization (psychological distress may be experienced as a physical problem due to
blending of mind/body) - DSM V "the cultural formulation interview"
Q6 LGBTQ+ health disparities
A fear of discrimination bullying lack of education and training of medical personnel access to care
lack of significant clinical research on LGBTQ+ health-related issues
Q7 What is ECT?
A a physical therapy in which with the help of electrodes, electrical current is passed to the brain to
produce generalized seizures
- modified ECT is a controlled medical procedure in which a seizure is induced in an anaesthetized
patient to produce a therapeutic effect
- requires a team of individuals
- psychiatric nurses have an important role in caring for patients who receive ECT
Q8 primary use of ECT
A - a need for rapid, definitive response due to the severity of a psychiatric or medical condition
- risks of other treatment outweigh the risks of ECT
- a history of poor medication response or good ECT response in one or more previous episodes of
the illness
- patient preference
Page 1 of 21
,NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q9 secondary use of ECT
A -Treatment resistance -Intolerance or adverse effects with pharmacotherapy that are less likely or
less severe with ECT -Deterioration of the patient's psychiatric or medical condition that creates a
need for a rapid, definitive response
Q10 what disorders is ECT used for?
A severe major depression acute mania, mood disorders with psychotic features, and catatonia
severe depression acute mania intolerance to side effects of medication or other treatments
deterioration in condition, or appearance of suicidality or pronounced lethargy acute catatonia
Q11 contraindications to ECT
A brain tumors, space occupying lesions, and other brain diseases that cause increased intracranial
pressure
Q12 Nursing care in ECT
A - electroconvulsive therapy is treated like a minor surgical procedure that requires preoperative
preparation and postoperative care - provide educational and emotional support - pre-treatment
planning and assessment - preparing and monitoring the patient during the actual procedure -
post-treatment care and evaluation
Q13 providing emotional and education support during ECT
A - explain the procedure to the patient - obtain an informed consent from the patient - respond to
patient's concerns and feelings - educate the patient concerning the procedure and explain to the
patient necessary tasks associated with ECT - initiate education interventions based on knowledge
deficits
Section 2: Purpose, Care, Brain (Q14–Q26)
Question & Answer
Q14 pre treatment nursing care ECT
A - preparation of treatment suite for the ECT procedure - an adjustable height stretcher trolley -
complete the pre-treatment check list - the patient's identity is verified and the patient wears an
identity bracelet - ensure safekeeping of the patient's valuable - NPO for minimum 4 hours before
treatment to prevent possible aspiration during anesthesia - the patient's hair should be clean and
dry to allow for electrode contact - hairpins, bracelets, body piercings should be removed to avoid
burns - the patient should be encouraged to pass urine before the treatment to avoid incontinence
during - dentures, glasses, prosthesis, hearing aids, contact lenses should be removed - minimize
anxiety and waiting times - standard practice regarding general anesthesia cares
Page 2 of 21
, NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q15 nursing care during ECT
A Transfer the patient on a trolley from the waiting room to the ECT room on a bed and placed in a
comfortable dorsal position or supine position. A small pillow is placed under the lumber curve. •
Apply ECG electrodes, BP cuff, and pulse oximetry sensor (not on same extremity as BP cuff). • Give
a short acting anesthetic agent. Thiopental.25mg to.5 mg, IV and succinyl choline30-50 mg. The
dose of drug may vary from patient to patient. • Prepare EEG electrodes, per treatment
specifications. • Prepare scalp and stimulus ECT electrodes (unilateral vs. bilateral) and apply paste
to electrodes. • Support the shoulder and arms of the patient. Restraint the thigh with the help of a
sheet. • Hyperextension of the head with support to the chin. •Administer oxygen •Apply jelly to
the electrodes •Make the observations of the convulsions. •The presence of initial tonic stage which
lasts for 10-15 seconds followed by clonic stage which lasts for 25-30 sec then there is a phase of
muscular relaxation with stertorus respiration ie flaccid stage. •Do suction immediately •Restore
respiration by giving O2 if necessary.
Q16 post ECT care
A Observe and record the vital parameters • Place the patient on side lying position, clean the
secretions • Transfer the patient from recovery room. record vital signs every 15 min for 30 min
and once in every 30 min till the patient recover to the normal stage. • Allow the patient to sleep
for 30 min to one hour • Reassure the client and reorient to the ward • Allow the patient to have
tea or any drinks • Record the procedure
Q17 brain functions
A Monitor changes in the external world Monitor composition of body fluids Regulate contraction of
skeletal muscles Regulate internal organs Initiate and regulate basic drives (sex, hunger, thirst,
aggression, self protection) Mediate conscious sensations Store and retrieve memories Regulate
Mood and emotions Think and perform intellectual functions Regulate the sleep cycle Produce and
interpret language Process Visual and Auditory Data
Q18 brain stem primitive brain purpose
A Direct connection to the spinal cord Sleep, heart rate, breathing, digestion, breathing
Q19 hypothalamus purpose
A Controls basic drives such as eating, drinking, sex Linking brain functions to internal organs Sensory
information processing Regulating sleep and wakefulness, conscious mental activity Pituitary
hormone regulation
Q20 cerebellum purpose
A integrates sensory information concerning position of body parts - coordinates skeletal muscle
activity - maintains posture
Q21 basal ganglia purpose
A coordinates involuntary movement and muscle tone
Q22 Cerebral cortex purpose
A senses, language, memory, behaviour and consciousness
Q23 what is the limbic system
A - reward center of the brain, thought to play a role in addiction - hypothalamus, thalamus, amygdala
and hippocampus
Page 3 of 21
