A nurse is caring for a client who has obsessive compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?

A. Limiting the amount of time available for interaction with others: While this may occur incidentally, it is not the primary motivation for the client’s behavior. B. Decreasing anxiety to a tolerable level. Compulsive behaviors in OCD are typically performed to reduce or manage anxiety. Cleaning and organizing are common coping mechanisms for clients with OCD. C. Focusing attention on useful tasks: The behavior is driven by anxiety, not productivity or utility. D. Manipulating and controlling others’ behavior: OCD compulsions are typically not manipulative; they are self-directed responses to internal distress.