A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Choice A reason: Compulsive cleaning is a ritualistic behavior performed to reduce anxiety. Clients with OCD engage in repetitive actions to temporarily relieve distress caused by intrusive thoughts. Choice B reason: Limiting social interaction may be a consequence of compulsive cleaning, but it is not the primary purpose. The main goal is anxiety reduction. Choice C reason: Manipulating others is not the intent of compulsive behaviors. These actions are driven by internal anxiety, not external control. Choice D reason: Preventing aggression or impulsivity is not the purpose of compulsive cleaning. OCD rituals are specifically aimed at reducing anxiety, not controlling aggression.