NUR 2459 RASMUSSEN MENTAL HEALTH
EXAM 1 MODULES 1-3 EXAM QUESTION
AND ANSWERS LATEST UPDATE
What are some psychiatric historical events that have occurred in the
early psychiatric era? - ANS ✔✔✔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.
- ANS ✔✔✔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? - ANS ✔✔✔insulin therapy
ECT therapy
Explain significance of insulin therapy in the early psych era. - ANS
✔✔✔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. - ANS ✔✔✔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. - ANS ✔✔✔there was a massive
discharge of psychiatric patients from mental hospitals back to their
original communities.
What is significant about the impact of deinstitutionalization? - ANS
✔✔✔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. - ANS ✔✔✔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? - ANS
✔✔✔physiological needs-safety need- love and belong needs- self
esteem- self actualization
What is important to know about maslows hierarchy of needs? - ANS
✔✔✔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 - ANS ✔✔✔behavioral therapy, cognitive
therapy, didactical behavior therapy
based on a verbal therapist to client interaction
Examples of open environment therapies - ANS ✔✔✔family, group
and milieu therapy
examples of Brian stimulation techniques - ANS ✔✔✔ECT, transcranial magnetic stimulation, vagus nerve stimulation
explain what behavioral therapy is. - ANS ✔✔✔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.
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