NUR 2459 MENTAL HEALTH EXAM 1
QUESTIONS AND ANSWERS, UPDATED 2024-2025 RATED
A+.
what are some psychiatric historical events that have occurred in the early
psychiatric era?
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.:
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?
insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era.:
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.:
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.:
there was a massive discharge of psychiatric patients from mental hospitals
back to their original communities.
what is significant about the impact of deinstitutionalization?
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.:
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?
physiology- ical needs-safety need- love and belong needs- self-esteem- self
actualization
what is important to know about maslows hierarchy of needs?
motivation is continuous quest for self-actualization, can reverse levels based on
life circum- stances, lower level needs must be met first before advancement to
higher level psychological needs.
Examples of psychotherapy:
behavioral therapy, cognitive therapy, didactical behavior therapy.
212. what is the role of HIPAA?:
protect a person's private health information. IN
psych, individuals have the rights to their medical records, have corrections made,
and decide who they can share them with.
Explain the two breeches of HIPAA that can occur in psych nursing:
duty to warn others that a patient is dangerous to others, child abuse or elder abuse
thatshould be immediately reported to authorities.
Explain what a voluntary admission is:
The client or client's guardianchooses admission to a mental facility.
A voluntarily admitted client may request release at any time.
Explain what a temporary emergency admission is:
The client is admittedfor emergent mental health care due to the inability to
make decisions regarding care.
After the admission is initiated by a healthcare provider, the client is evaluated by
another healthcare provider.
This temporary admission varies by client's needs and state laws.
The client enters against her/hiswill for an indefinite period time.
QUESTIONS AND ANSWERS, UPDATED 2024-2025 RATED
A+.
what are some psychiatric historical events that have occurred in the early
psychiatric era?
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.:
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?
insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era.:
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.:
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.:
there was a massive discharge of psychiatric patients from mental hospitals
back to their original communities.
what is significant about the impact of deinstitutionalization?
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.:
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?
physiology- ical needs-safety need- love and belong needs- self-esteem- self
actualization
what is important to know about maslows hierarchy of needs?
motivation is continuous quest for self-actualization, can reverse levels based on
life circum- stances, lower level needs must be met first before advancement to
higher level psychological needs.
Examples of psychotherapy:
behavioral therapy, cognitive therapy, didactical behavior therapy.
212. what is the role of HIPAA?:
protect a person's private health information. IN
psych, individuals have the rights to their medical records, have corrections made,
and decide who they can share them with.
Explain the two breeches of HIPAA that can occur in psych nursing:
duty to warn others that a patient is dangerous to others, child abuse or elder abuse
thatshould be immediately reported to authorities.
Explain what a voluntary admission is:
The client or client's guardianchooses admission to a mental facility.
A voluntarily admitted client may request release at any time.
Explain what a temporary emergency admission is:
The client is admittedfor emergent mental health care due to the inability to
make decisions regarding care.
After the admission is initiated by a healthcare provider, the client is evaluated by
another healthcare provider.
This temporary admission varies by client's needs and state laws.
The client enters against her/hiswill for an indefinite period time.
