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Case Study - Cognitive Interventions in Psychiatric Nursing
A 34-year-old man is voluntarily seeking treatment for severe obsessive-compulsive disorder. Currently, he is experiencing an exacerbation of obsessive thoughts that he has contracted HIV because he kissed his best friend's girlfriend during a recent holiday party. He has been engaged in excessive oral hygiene activities (mouth washing and brushing his teeth up to 37 times a day) to the point that he has compromised his oral mucous membranes and as a result has developed an infection on his oral tissue. In working with the patient, the Registered Nurse (RN) uses a cognitive behavioral therapy (CBT) approach with a plan to alter the patient's distorted beliefs by replacing the negative, inaccurate beliefs of contracting HIV and changing the compulsive lip- and mouth-washing behavior by rewarding more acceptable behaviors (Learning Objectives 2, 4, & 5).
a. Write one goal or outcome for the patient related to the positive effects of the CBT.
b. If you were working with a patient who had a thought disorder, would CBT be the treatment of choice? Explain your answer.
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