Author Question: Eye movement desensitization and reprocessing (EMDR) mimics rapid eye movement (REM) sleep. The ... (Read 108 times)

genevieve1028 · **on:** Jul 19, 2018

Eye movement desensitization and reprocessing (EMDR) mimics rapid eye movement (REM) sleep. The nurse working with injured soldiers knows that EMDR is an intervention suggested for the treatment of:

1. Bipolar I.
2. Childhood-onset trauma victims.
3. Dissociative identity disorder.
4. Depression.

Question 2

The nurse suspects a 75-year-old male client with a recent diagnosis of cancer is contemplating suicide. Which one of the following cues indicates the highest suicide potential?

1. Yearly updating his will
2. Complaining of chronic pain
3. Vague statements about future funeral plans
4. Buying a hand revolver

mtmmmmmk · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: Eye movement desensitization reprocessing is a controversial intervention suggested for PTSD and dissociative identity disorder. Clients are asked to recall traumatic memories or a feared stimulus while making a series of rapid lateral eye movements. There is no definitive theoretical explanation of how EMDR might work other than that it is the repetitive redirection of attention in EMDR that induces a neurobiologic state, similar to that of rapid eye movement (REM) sleep, which assists in the integration of traumatic memories into the cortex of the brain. As with conventional medicine, there has been inaccurate and selective reporting of research, inadequately designed studies, and biased or inaccurate reviews. EMDR has been described as having a significant healing outcome for an adult with a childhood memory of medical trauma resulting from a tonsillectomy. However, a randomized clinical trial that compared the short- and long-term benefits of medication (fluoxetine) with those of EMDR in subjects diagnosed with PTSD found that 75 of adult-onset subjects at the six-month follow-up were asymptomatic compared with none in the fluoxetine group. EMDR is not used for treatment of depression or Bipolar I. For most childhood-onset trauma victims, neither medication nor EMDR produced complete symptom remission.

Answer to Question 2

4
Rationale: Buying a hand revolver presents the highest suicide potential because it signals a degree of premeditation and planning with a highly lethal means for completing suicide. Although discussing funeral plans, updating his will, and complaining of chronic pain are other verbal, behavioral, and situational cues for suicide, they can be expected in this situation and do not cause immediate concern.