A nurse is contributing to the plan of care for a newly-admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse plan to include?

Choice A reason: A stimulating environment may increase anxiety and worsen OCD symptoms. Clients with OCD benefit from calm, structured surroundings rather than overstimulation. Choice B reason: Negative reinforcement is not appropriate in managing OCD. Punishing or discouraging ritualistic behavior can increase anxiety and worsen compulsions. Therapeutic approaches focus on support and gradual behavioral modification. Choice C reason: Providing a structured schedule of activities helps reduce anxiety and provides predictability. Structure allows the client to engage in meaningful tasks, which can reduce time spent on compulsions and promote healthier coping strategies. Choice D reason: Limiting rituals to a set time, such as 30 minutes daily, is not realistic or therapeutic in early care planning. Rituals should be addressed gradually with cognitive-behavioral therapy, not abruptly restricted, as sudden limits can heighten anxiety.