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1. what are some psychiatric historical events that have occurred in the earlyp
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sychiatric era?: Answer- 18th century- b b bb b
state asylums created, 600,000 residents were in them, 1st school or psychiatric nur
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sing was created in 1882, deinstitutionalization, shift in role of the nurse from custodi
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al care to professional care.
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2. explain what early use of phenothiazine was for in early psych nursing.: An
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swer-
bb 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 ine
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arly psych nursing?: Answer- insulin therapy
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ECT therapy b
4. explain significance of insulin therapy in the early psych era.: Answer-
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bbb insulin was administered until the client was comatose, this could kill the patient be
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cause theblood sugar could drop below normal levels, but it helped relive psych sym
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ptoms.
5. explain significance of early ECT therapy.: Answer-
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,bb 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 cl
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ient and stimulate the seizure and for proper monitoring throughout the procedure.
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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 ps
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ych patients who needed services were forced onto the streets, potentially leadingthem
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to more harm and crime.
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8. 3 main reasons deinstitutionalization was initiated.: the belief that treatmentin
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the hospitals was inhumane
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hope that medications would offer a cure lac
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k 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?: motivationis
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continuous quest for self actualization, can reverse levels based on life circum-
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stances, lower level needs must be met first before advancement to higher level psy
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chological needs. b
11. examples of psychotherapy: behavioral therapy, cognitive therapy, didacticalb
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,ehavior 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 behaviorp
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atterns.
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, based that a behavior is learned and has consequences and abnormal behaviorre
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sults 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 thenur
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sing process to assist the client with behavior modification. This can be through1 on 1
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b groups, different ways like classical and operant conditioning
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16. explain what cognitive therapy is.: focuses on individual client thoughts andb
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ehaviors to solve current problems. b b b b
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 psyc
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hoeducation, use of the therapeutic relationship and counseling interventions.They a
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lso 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 andb
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ehavioral 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,im
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proving understanding among family members, maximizing positive interaction with f
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amily members. b
20. explain what milieu therapy is: creates an environment that is supportive andth
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erapeutic and safe to benefit clients and promote coping within a safe place.
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