A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

Choice A reason: Assessing the client’s level of anxiety is the most appropriate action because compulsive behaviors are driven by anxiety. Understanding the severity of anxiety helps guide interventions and ensures that care is tailored to the client’s needs. Choice B reason: Negative reinforcement is not appropriate in OCD management. Punishing or discouraging rituals increases distress and can worsen compulsions. Therapeutic approaches focus on support, gradual exposure, and cognitive-behavioral strategies. Choice C reason: Interrupting compulsive behavior abruptly can heighten anxiety and lead to agitation. Rituals serve as coping mechanisms, and sudden interruption is counterproductive. Choice D reason: Encouraging avoidance of anxiety-provoking situations reinforces maladaptive coping and limits progress. Exposure therapy, not avoidance, is the evidence-based approach for OCD.