What response should a nurse give to a client with obsessive-compulsive disorder who cannot stop washing their hands?

The response that emphasizes working together to limit the number of times the client washes their hands acknowledges the client’s struggle while also promoting a collaborative approach to coping with their symptoms. This is particularly important in the context of obsessive-compulsive disorder (OCD), where individuals may feel overwhelmed by their compulsions but also have a desire to manage their behaviors effectively.

By suggesting collaboration, the nurse validates the client’s experience and opens a dialogue that can facilitate therapeutic engagement. This approach can help the client feel supported and understood, making it easier for them to discuss their compulsions and seek strategies to reduce the behavior. It also encourages the client to take an active role in their treatment, fostering empowerment and a sense of agency, which is crucial in managing OCD.

The other responses do not effectively promote this collaborative approach. For instance, discussing the reasons behind the compulsion may not be immediately helpful, as it can lead to rumination without providing practical strategies to cope. Acknowledging improvement without actionable steps may leave the client feeling stuck. Reassuring the client that their behaviors are part of their illness without a plan for management may inadvertently normalize the compulsions without addressing the underlying issue. Therefore, the supportive and proactive nature of the chosen answer stands out as the most