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

Choice A reason: Setting strict limits on behaviors is not therapeutic for OCD. It can increase anxiety and resistance, as compulsions are driven by uncontrollable urges to reduce distress. Choice B reason: Informing the client that ritualistic behaviors serve no purpose invalidates their experience and can increase anxiety. Clients with OCD are often aware their behaviors are irrational but feel compelled to perform them. Choice C reason: Isolation is inappropriate and harmful. It does not address the client’s needs and can worsen anxiety and compulsive behaviors. Choice D reason: Allowing time for rituals is the correct intervention. Initially, the nurse should accommodate the client’s compulsions to reduce anxiety and build trust. Over time, therapeutic interventions can gradually help the client reduce ritualistic behaviors.