NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
what are some psychiatric historical events that have occurred in the early psychiatric era? - (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. - (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? -
(answer) insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - (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. - (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. - (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? - (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. - (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? - (answer) physiological needs-safety
need- love and belong needs- self esteem- self actualization
,NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
what is important to know about maslows hierarchy of needs? - (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 - (answer) behavioral therapy, cognitive therapy, didactical behavior
therapy
based on a verbal therapist to client interaction
examples of open environment therapies - (answer) family, group and milieu therapy
examples of Brian stimulation techniques - (answer) ECT, trans-cranial magnetic stimulation, vagus
nerve stimulation
explain what behavioral therapy is. - (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? - (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. - (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? - (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) - (answer) uses both cognitive and behavioral
approaches to assist a client with anxiety management.
, NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
explain what family therapy is - (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 - (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 - (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 - (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? - (answer) Used as a last resort in depression, mania,
schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT - (answer) confusion and memory loss, headache
what is the role of the nurse during ECT? - (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? - (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
QUESTIONS AND CORRECT DETAILED ANSWERS
what are some psychiatric historical events that have occurred in the early psychiatric era? - (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. - (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? -
(answer) insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - (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. - (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. - (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? - (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. - (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? - (answer) physiological needs-safety
need- love and belong needs- self esteem- self actualization
,NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
what is important to know about maslows hierarchy of needs? - (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 - (answer) behavioral therapy, cognitive therapy, didactical behavior
therapy
based on a verbal therapist to client interaction
examples of open environment therapies - (answer) family, group and milieu therapy
examples of Brian stimulation techniques - (answer) ECT, trans-cranial magnetic stimulation, vagus
nerve stimulation
explain what behavioral therapy is. - (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? - (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. - (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? - (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) - (answer) uses both cognitive and behavioral
approaches to assist a client with anxiety management.
, NUR 2459 RASMUSSEN MENTAL HEALTH EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
explain what family therapy is - (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 - (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 - (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 - (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? - (answer) Used as a last resort in depression, mania,
schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT - (answer) confusion and memory loss, headache
what is the role of the nurse during ECT? - (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? - (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
