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

Choice A reason: Providing a structured activity schedule is helpful for clients with OCD, but it is not the first priority. Before structuring activities, the nurse must understand what triggers the client’s compulsions. Choice B reason: Relaxation techniques are useful for managing anxiety, but they are not the initial intervention. Identifying precipitating factors is necessary before teaching coping strategies. Choice C reason: Identifying precipitating factors for ritualistic behaviors is the first step in managing OCD. Understanding what triggers compulsions allows the nurse to tailor interventions, reduce exposure to triggers, and help the client develop healthier coping mechanisms. Choice D reason: Discussing alternative coping strategies is important, but it comes after identifying the triggers. Without knowing what causes the ritualistic behaviors, alternative strategies cannot be effectively implemented.