Which is the desired outcome for a client with obsessive-compulsive disorder (OCD)?

Obsessive-Compulsive Disorder (OCD) is characterized by obsessions (intrusive, persistent thoughts) and compulsions (repetitive behaviors performed to alleviate the anxiety caused by the obsessions). Because OCD is often a chronic condition, the goal of psychiatric nursing is not necessarily the total eradication of thoughts, but rather functional restoration and the reduction of the symptoms' power over the client’s life. Rationale: A. The most realistic and desired outcome is that the client can function effectively in their social and occupational roles. Success is measured by the client’s ability to manage their time and energy so that compulsions do not prevent them from fulfilling their daily responsibilities or maintaining relationships. B. Relieving a client of all responsibilities is a counterproductive intervention. This approach encourages the sick role and can actually increase the time a client has available to engage in ritualistic behaviors, ultimately worsening the severity of the disorder and decreasing the client’s self-esteem. C. While total symptom remission is an ideal, it is often unrealistic for many clients with OCD. Expecting a complete absence of symptoms can lead to frustration and a sense of failure if an intrusive thought occurs. The clinical focus is on management and control rather than a cure. D. Anxiety is a universal human emotion and a core component of the OCD cycle. The goal is to help the client develop coping mechanisms to manage anxiety without resorting to rituals (such as through Exposure and Response Prevention), rather than the impossible goal of never experiencing anxiety again.