NUR 2459 / NUR2459 Mental and Behavioral Health Nursing Exam 1 Review | Rated A Guide | Latest 2021 / 2022 | Rasmussen College
NUR 2459 / NUR2459 Mental and
Behavioral Health Nursing Exam 1
Review | Rated A Guide | Latest
2021 / 2022 | Rasmussen College
1. explain what ECT is used today
· 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.
2. what types of disorders can ECT help with?
· Used as a last resort in depression, mania, schizophrenia, and psychosis when
medication and treatment has failed.
3. side effects from ECT
· confusion and memory loss,
· headache
4. what is the role of the nurse during ECT?
· 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.
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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.
5. what will actually happen during the ECT procedure?
· 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 client and
monitor for any changes, the CRNA will wake the patient up when finished,
all people in the room will monitor for adverse reactions.
6. medications that may be given during ECT
· atropine sulfate, succinylcholine, sedative medication and medication to help
client relax.
7. what is trans-cranial magnetic stimulation?
· a noninvasive therapy that uses magnetic pulsations to stimulate the cerebral
cortex of the brain for those with depression who have not been responsive to
medications.
8. What is vagus nerve stimulation?
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· provides electrical stimulation through the vagus nerve of the brain through
a surgically implanted device to increase neurotransmitter levels to treat
depression resistant to other methods of treatment and medication.
9. which system is responsible for how the body changes with stress?
· fight or flight system- everyone will react differently
10. explain what stress is.
· 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.
11. which two defense mechanisms are always healthy?
· alturism and sublimation
12. Role of psychiatric nurse
· 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.
13. what are some psychiatric historical events that have occurred in the early psychiatric
era?
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NUR 2459 / NUR2459 Mental and Behavioral Health Nursing Exam 1 Review | Rated A Guide | Latest 2021 / 2022 | Rasmussen College
NUR 2459 / NUR2459 Mental and Behavioral Health Nursing Exam 1 Review | Rated A Guide | Latest 2021 / 2022 | Rasmussen College 1. explain what ECT is used today · 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. 2. what types of disorders can ECT help with? · Used as a last resort in depression, mania, schizophrenia, and psychosis when medication and treatment has failed. 3. side effects from ECT · confusion and memory loss, · headache 4. what is the role of the nurse during ECT? · 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. 5. what will actually happen during the ECT procedure? · 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 client and monitor for any changes, the CRNA will wake the patient up when finished, all people in the room will monitor for adverse reactions. 6. medications that may be given during ECT · atropine sulfate, succinylcholine, sedative medication and medication to help client relax. 7. what is trans-cranial magnetic stimulation? · a noninvasive therapy that uses magnetic pulsations to stimulate the cerebral cortex of the brain for those with depression who have not been responsive to medications. 8. What is vagus nerve stimulation? · provides electrical stimulation through the vagus nerve of the brain through a surgically implanted device to increase neurotransmitter levels to treat depression resistant to other methods of treatment and medication. 9. which system is responsible for how the body changes with stress? · fight or flight system- everyone will react differently 10. explain what stress is. · 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. 11. which two defense mechanisms are always healthy? · alturism and sublimation 12. Role of psychiatric nurse · 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. 13. what are some psychiatric historical events that have occurred in the early psychiatric era? · 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. 14. explain what early use of phenothiazine was for in early psych nursing. · it was discovered to help control psychotic behaviors and improve/ clear thinking. 15. what were the two nursing interventions associated with somatic therapy in early psych nursing? · insulin therapy · ECT therapy 16. explain significance of insulin therapy in the early psych era. · 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. 17. explain significance of early ECT therapy. · 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. 18. explain what deinstitutionalization is.