NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3.
Complete Actual Exam Questions and Correct Answers
(Genuine Guide Graded A+).
what are some psychiatric historical events that have occurred in the early psychiatric era? -
CORRECT 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. - CORRECT 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? - CORRECT ANSWER ->> insulin therapy
ECT therapy
explain significance of insulin therapy in the early psych era. - CORRECT 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. - CORRECT 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. - CORRECT 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? - CORRECT 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. - CORRECT 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? - CORRECT ANSWER ->>
physiological needs-safety need- love and belong needs- self-esteem- self actualization
what is important to know about maslows hierarchy of needs? - CORRECT ANSWER ->>
,RASMUSSEN MENTAL HEALTH EXAM 1 MODULES 1-3 2025/2026
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 - CORRECT ANSWER ->> behavioral therapy, cognitive therapy,
didactical behavior therapy
based on a verbal therapist to client interaction
examples of open environment therapies - CORRECT ANSWER ->> family, group and milieu
therapy
examples of Brian stimulation techniques - CORRECT ANSWER ->> ECT, trans-cranial
magnetic stimulation, vagus nerve stimulation
explain what behavioral therapy is. - CORRECT 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 nurse’s role with behavioral therapy? - CORRECT 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. - CORRECT 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? - CORRECT 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) - CORRECT ANSWER ->> uses both
cognitive and behavioral approaches to assist a client with anxiety management.
explain what family therapy is - CORRECT 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 - CORRECT ANSWER ->> creates an environment that is
supportive and therapeutic and safe to benefit clients and promote coping within a safe place.
,RASMUSSEN MENTAL HEALTH EXAM 1 MODULES 1-3 2025/2026
explain what group therapy is - CORRECT 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 - CORRECT 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? - CORRECT ANSWER ->> Used as a last resort
in depression, mania, schizophrenia, and psychosis when medication and treatment has failed.
side effects from ECT - CORRECT ANSWER ->> confusion and memory loss, headache
what is the role of the nurse during ECT? - CORRECT 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? - CORRECT 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 get and will shock the client and monitor
for any changes, the CRNA will wake the patient up when finished, all people in the room will
monitor for adverse reactions.
medications that may be given during ECT - CORRECT ANSWER ->> atropine sulfate,
succinylcholine, sedative medication and medication to help client relax.
what is trans-cranial magnetic stimulation? - CORRECT ANSWER ->> a noninvasive therapy
that uses magnetic pulsations to stimulate the cerebral cortex of the brain for those with
depression who have not been responsive to medications.
What is vagus nerve stimulation? - CORRECT ANSWER ->> provides electrical stimulation
through the vagus nerve of the brain through a surgically implanted device to increase
neurotransmitter levels to treat depression resistant to other methods of treatment and
, RASMUSSEN MENTAL HEALTH EXAM 1 MODULES 1-3 2025/2026
medication.
which system is responsible for how the body changes with stress? - CORRECT ANSWER ->>
fight or flight system- everyone will react differently
explain what stress is. - CORRECT ANSWER ->> maladaptive responses to stressors from
the internal or external environment, evidenced by thoughts, feelings and behaviors that are
incongruent with the local and cultural norms, and interfere with the individual, social,
occupational and physical functioning.
which two defense mechanisms are always healthy? - CORRECT ANSWER ->> alturism and
sublimation
Role of psychiatric nurse - CORRECT ANSWER ->> maladaptive responses to stressors from
the internal or external environment, evidenced by thoughts, feelings and behaviors that are
incongruent with the local and cultural norms, and interfere with the individual, social,
occupational and physical functioning.
explain the role of EEG and EKG with ECT - CORRECT ANSWER ->> This allows for cardiac
monitoring, and also observation of brain activity (seizure activity in the brain).
what is the role of the stranger - CORRECT ANSWER ->> first interaction with the nurse and
treating the patient with respect.
what is the role of the resource person - CORRECT ANSWER ->> will give answers in a way
the patient can understand based on their healthcare information.
what is the role of the teacher - CORRECT ANSWER ->> the nurse identifies learning needs
and information related to the patients healthcare.
what is the role of the leader - CORRECT ANSWER ->> encourages both the nurse and the
patient to have a democratic relationship and be active in the plan of care.
what is the role of the surrogate - CORRECT ANSWER ->> the patient may see the nurse as a
mother figure, sibling, or another nurse in the past where the situation may generate feelings
similar to ones felt in the past.
what is the role of the technical expert - CORRECT ANSWER ->> understands technical
devices and clinical interventions needed for the best interest of the patient.