What intervention should a nurse take for a client with obsessive-compulsive disorder?

Allowing the client enough time to perform rituals is a critical intervention for someone with obsessive-compulsive disorder (OCD). Individuals with OCD often feel compelled to engage in specific rituals or compulsions to alleviate anxiety caused by obsessive thoughts. These rituals serve as a coping mechanism, even if they are not logical or helpful in the long term.

By allowing sufficient time for these rituals, the nurse acknowledges the client’s current coping strategies and helps to reduce feelings of stress and frustration that could arise from interrupting or rushing them. It also provides an opportunity for the nurse to gradually introduce cognitive-behavioral techniques that may help the client manage their symptoms in the long term.

In contrast, discouraging all forms of ritual behavior can lead to increased anxiety and distress, which may exacerbate the client’s symptoms. Implementing a strict schedule might impose additional pressure and could disrupt the natural flow of their coping mechanism, potentially leading to resistance or heightened anxiety. Similarly, introducing group therapy immediately may not be appropriate right at the beginning, as individual readiness and the potential for increased anxiety in social situations are important factors to consider in treatment planning.