NUR 2459 RASMUSSEN MENTAL
HEALTH EXAM MODULES 1-3
QUESTIONS AND CORRECTLY
ANSWERED EXAM LATEST
VERSION
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 needssafety need- love and belong needs- self esteemself 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, trans-cranial 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.
what is the nurses role with behavioral therapy? -
ANS ✔✔✔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. - ANS
✔✔✔focuses on individual client thoughts and
behaviors to solve current problems.
Based on changing the way one thinks.
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