NUR 2459 RASMUSSEN MENTAL HEALTH
EXAM 1 MODULES 1-3 100% CORRECT!!
,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
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.
, 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.
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,
EXAM 1 MODULES 1-3 100% CORRECT!!
,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
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.
, 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.
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,
