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

A. Use detailed explanations when providing education to the client. While education is important, individuals with OCD often experience heightened anxiety, making excessive details overwhelming. Clear, concise communication is more effective in reducing stress and promoting understanding. B. Maintain a stimulating environment for the client. A highly stimulating environment can increase anxiety and compulsive behaviors in individuals with OCD. A calm, structured setting is more beneficial in helping the client manage symptoms. C. Provide the client with a structured schedule of daily activities. A structured schedule helps reduce uncertainty and anxiety, which can trigger compulsive behaviors. Predictability in daily activities provides stability and can assist in gradually reducing ritualistic behaviors through planned interventions. D. Limit time for rituals to 30 min each day. While limiting rituals is part of treatment, an abrupt or rigid time restriction can increase anxiety and resistance. Instead, a gradual approach using cognitive-behavioral therapy (CBT) techniques, such as exposure and response prevention, is more effective.