A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Explanation & Rationale
A. Setting strict limits on compulsive behaviors can lead to increased anxiety for the client with OCD. It is important to provide a structured environment, but forcing the client to abruptly stop their rituals can worsen their distress and potentially cause the client to become more preoccupied with their compulsions. B. Allowing time for the client’s compulsive behaviors is essential, especially during the initial phase of treatment. This helps to manage the client's anxiety and provide a sense of control. Over time, the nurse and therapist can work together to gradually reduce the frequency and intensity of the compulsions in a structured, supportive way. C. Isolating the client can increase their anxiety and worsen the symptoms of OCD. Social interaction and engagement in therapeutic activities are important for the client’s overall mental health. D. Confronting the client about the "senseless" nature of their repetitive behaviors can lead to shame, guilt, and resistance. Instead, the approach should be empathetic and supportive, helping the client recognize their behaviors and gradually reduce them without feeling judged or criticized.