NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3 what are some psychiatric historical events that have occurred in the early psychiatric era? - CORRECT ANSWERANS: 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 ANSWERANS: 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 ANSWERANS: insulin therapy
ECT therapy 1 / 4
explain significance of insulin therapy in the early psych era. - CORRECT ANSWERANS: 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 ANSWERANS: 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 ANSWERANS: 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
ANSWERANS: many of the psych patients who needed services were
forced onto the streets, potentially leading them to more harm and crime. 2 / 4
3 main reasons deinstitutionalization was initiated. - CORRECT ANSWERANS:
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
ANSWERANS: physiological needs-safety need- love and belong needs-
self esteem- self actualization what is important to know about maslows hierarchy of needs? - CORRECT ANSWERANS: 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 ANSWERANS: behavioral therapy, cognitive therapy, didactical behavior therapy based on a verbal therapist to client interaction
examples of open environment therapies - CORRECT ANSWERANS:
family, group and milieu therapy 3 / 4
examples of Brian stimulation techniques - CORRECT ANSWERANS: ECT, trans-cranial magnetic stimulation, vagus nerve stimulation
explain what behavioral therapy is. - CORRECT ANSWERANS: 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? - CORRECT ANSWERANS:
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 ANSWERANS: focuses on individual client thoughts and behaviors to solve current problems.Based on changing the way one thinks.
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