Author Question: For the patient with ritualistic hand washing and an identified outcome expectation of Use of ... (Read 31 times)

oliviahorn72 · **on:** Jul 19, 2018

For the patient with ritualistic hand washing and an identified outcome expectation of Use of effective coping patterns, the nurse should: (Select all that apply.)

a. allow the patient to set her own hand-washing schedule.
b. encourage the patient to participate in unit activities.
c. encourage the patient to discuss hand washing in all groups.
d. teach relaxation techniques to be used in lieu of rituals.
e. restrict the ritual to demonstrate that anxiety subsides without it.
f. gradually increase the intervals between permitted washing.

Question 2

A therapy that once was denounced by the scientific community but now is being used to treat successfully victims of the events of 9/11, Hurricane Katrina, and the South Asian tsunami of 2004 and that helps the rational left side of the brain bond

with a traumatic memory from the emotional right side of the brain is known as: a. Hypnosis therapy
b. Eye Movement Desensitization and Reprocessing (EMDR)
c. Shiatsu
d. Doshas

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

Answer to Question 1

B, D, E, F
Obsessive-compulsive patients become overly involved in their rituals; therefore, participation in normal unit activities is promoted. Allowing the patient to determine her own frequency or schedule of ritual behavior is not therapeutic (it could compete with or replace participation in unit activities). Similarly, recurrent focus on the ritual, in groups or other interactions, is also discouraged because it would displace coverage of other important content (such as the patient's feelings, coping techniques). All interventions to relieve anxiety are included in the treatment of obsessive-compulsive disorder so that the patient has other alternatives for controlling anxiety herself and the need for the compulsive behaviors can gradually be reduced. The technique of response prevention, wherein the ritualistic behavior is prevented so that the patient learns that anxiety will subside even without the behavior, is also therapeutic. This technique subsequently involves having the patient gradually lengthen the interval between the compulsive actions.

Answer to Question 2

B
EMDR is thought to help clients who have experienced a horrific trauma to process the event so they can deal with their emotions. The other therapies are not being used widely for treatment following these events.