NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3 All Answered, Exams of Health Physics

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NUR 2459 Rasmussen Mental Health Exam 1 Modules

1-3 All Answered.

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 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.

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. 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

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. what is the role of the counselor - Correct answer >>>the nurse uses interpersonal techniques to assist patients in adapting with changes in life experiences and to help them understand what they are going through in the present situation. which of the roles of nurse are most apparent in psychiatric nursing and why - Correct answer >>>Counselor- They must have skills developed to provide helpful individual, group, or family therapy. The staff nurse should have general knowledge of basic counseling techniques and to have a therapeutic or helping relationshi explain altruism - Correct answer >>>dealing with anxiety by reaching out for others example of altruism - Correct answer >>>It is very cold and a man takes off his jacket and gives it to someone who cannot afford a coat. explain compensation - Correct answer >>>covering up a real or perceived weakness by emphasizing a trait one considered more desirable

Explain identification - Correct answer >>>conscious or unconscious assumption of the characteristics of another individual or group Example of identification - Correct answer >>>The student nurse imitates the nurturing actions of the instructor. explain intellectualization - Correct answer >>>separation of emotions and logical facts when analyzing or coping with a situation or event. example of intellectualization - Correct answer >>>A wife is moving far away from her family because of her husband's job transfer. She explains to her family all the advantages of the move. explain rationalization - Correct answer >>>creating reasonable and unacceptable explanations for unacceptable behavior example of rationalization - Correct answer >>>A boy justifies cheating in a card game because he said everyone cheats. explain reaction formation - Correct answer >>>preventing unacceptable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors.

example of reaction formation - Correct answer >>>A girl is angry with someone, but expresses exaggerated friendliness when she sees her. explain regression - Correct answer >>>sudden use of childlike or earlier developmental behaviors that do not correlate with age or developmental stage. example of regression - Correct answer >>>An adult throws a temper tantrum when she doesn't get her way. explain repression - Correct answer >>>unconsciously putting unacceptable feelings, ideas and thoughts out of awareness. No memory. example of repression - Correct answer >>>A trauma victim is unable to remember anything about his accident. explain suppression - Correct answer >>>voluntary denying or putting away stressful feelings example of suppression - Correct answer >>>A student states, "I'll worry about that exam tomorrow." explain conversion - Correct answer >>>responding to stress through the unconscious development of physical manifestations of illnesses.

explain what the therapeutic use of self means and the role of the nurse - Correct answer >>>The ability to use one's personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing intervention. The nurse must possess self-awareness and self understanding based on the belief of the human condition. The nurse must understand the ability to effectively help others in time of need is influenced strongly by the internal values one has. conditions essential for a therapeutic relationship to be established - Correct answer

rapport, trust, respect, genuineness, empathy explain what rapport is - Correct answer >>>implies special feelings on the part of both the patient and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude explain what trust is - Correct answer >>>one must feel confident in that person's presence, reliability, integrity, veracity, and sincere desire to provide assistance when requested. demonstrated through nursing interventions that convey a sense of warmth and caring to the patient.

explain what respect is - Correct answer >>>believe in the dignity and worth of an individual regardless of his or her unacceptable behavior explain what genuineness is - Correct answer >>>nurse's ability to be open, honest, and "real" in interactions with the patient. To be real is to be aware of what one is experiencing internally and to allow the quality of this inner experience to be apparent in the therapeutic relationshi explain what empathy is - Correct answer >>>conveys an objective awareness and understanding of the feelings, emotions, and behaviors of others, including trying to envision what it must be like to be in the position of the client and the clients family. explain the therapeutic nurse patient relationship - Correct answer >>>pre orientation, orientation, working, termination explain what happens during pre orientation phase - Correct answer >>>involves preparation for the first encounter with the patient. The nurse obtains information from the chart, significant others, or other team members. They also may examine one's feelings, fears, and anxieties about working with a specific patient and how they may affect the ability to care for the patient. no bias explain the orientation phase - Correct answer >>>involves the nurse and the patient becoming acquainted. Introductions.

healing and change. It fosters the exploration of feelings and understanding of behavioral motivation. Nonjudgemental, discourages defensiveness, and promotes trust. explain non therapeutic communication - Correct answer >>>barriers to open communication between the nurse and patient that lead to anxiety, non healing, judgment, and defensiveness. No trust and rapport. what is verbal communication? - Correct answer >>>communication by word or sound. Nurses must be cautious about the word choices or sounds they make, as some works or phrases may not be therapeutic or healing. what is non verbal communication? - Correct answer >>>communication that expresses one's attitudes and feelings with body language, physical appearance, movement, posture, touch, facial expressions, eye contact, and vocal cutes. explain what active listening is - Correct answer >>>occurs nonverbally and is important to have a desire to hear and understand what the patient is saying. explain the acronym SOLER and active listening - Correct answer >>>S- sit squarely facing the patient O- observe a open posture with legs and arms not crossed.

L- lean forward to the patient and allow them to see your interest in what they are saying E- eye contact should be established to show interest R- relaxing will show that you are comfortable and have full interest in the patient explain nonverbal techniques that are therapeutic - Correct answer >>>appearance is nice and groomed appropriately, body movement is minimal per conversation and posture is upright with an open figure, no touch, facial expression is pleasant, eye contact is maintained, vocal cues are followed and tone of voice is neutral explain nonverbal techniques that are non therapeutic - Correct answer >>>appearance is disheveled, body language is very negative (arms crossed, should shrugging), mood does not equal affect, posture is too relaxed or slouched, touch is used, eye rolling or looking at the clock, door or not the patient, vocal cues seem very conscientious and forceful explain using silence - Correct answer >>>encourages the patient to organize thoughts and time to think. Can also provide the nurse with information about patient concerns. explain accepting - Correct answer >>>conveys an attitude of reception and regard. explain giving recognition - Correct answer >>>acknowledging awareness rather than complementing that reflects judgement.

explain restating - Correct answer >>>repeating the main idea of what the patient said helps to let the patient know there is either understanding or a need for more clarity. explain reflecting - Correct answer >>>questions and feelings are referred back to the patient so that the patient is empowered to actively engage in problem solving techniques. explain focusing - Correct answer >>>taking notice of a single idea or word and exploring it even more. Hard with those who have anxiety. explain exploring - Correct answer >>>when an issue or theme is relevant, the nurse may instruct the patient to explore it further and understand awareness about the event or feelings. explain seeking clarification - Correct answer >>>striving to achieve understanding of vague statements can help for understanding. explain presenting reality - Correct answer >>>when there is a misperception of reality, the nurse will express their perception of the situation without changing the patients. explain voicing doubt - Correct answer >>>expressing uncertainty as to the reality of the patient's perceptions during delusional thinking.

explain verbalizing the implied - Correct answer >>>putting into words what the patient has implied or said indirectly. explain translating words into feelings - Correct answer >>>the nurse will symbolize what has been said to find the underlying feelings. explain formulating a plan of action - Correct answer >>>encouraging identification of a behavior change will allow for better coping skills. explain material boundaries - Correct answer >>>can be seen, like a fence that borders land. explain social boundaries - Correct answer >>>hese are established within a culture and define how individuals are expected to behave in social situations. explain personal boundaries - Correct answer >>>these are boundaries that individuals define for themselves. explain physical/distance boundaries - Correct answer >>>how close individuals will allow others to enter their physical space.