Question

which rationale supports giving the client diagnosed with obsessive-compulsive disorder time to perform a specific ritual?

a it demonstrates respect for the clients autonomy.
b this behavior is viewed as a result of anger turned inward.
c denying this activity may precipitate an increased level of anxiety.
d successful performance of independent activities enhances self-esteem.

Explanation:

Analyze the clinical scenario

Using the Obsessive-Compulsive Disorder knowledge point

• The client has obsessive-compulsive disorder (OCD).
• The nursing action is allowing time for rituals.

Evaluate the purpose of rituals

Using the Ritualistic Behavior knowledge point

• Rituals serve as a defense mechanism.
• They help control or reduce severe anxiety.

Assess the impact of blocking rituals

Using the Anxiety Management knowledge point

• Preventing rituals increases anxiety significantly.
• Initial care plans must allow ritual time.

Compare the multiple-choice options

• Option A: Autonomy is not the primary clinical rationale.
• Option B: Anger turned inward describes depression, not OCD.
• Option C: Denying the ritual increases anxiety levels.
• Option D: Rituals are maladaptive, not self-esteem builders.

Select the correct rationale

• Option C directly aligns with clinical anxiety management.
• Allowing rituals prevents panic-level anxiety initially.

Answer:

• A It demonstrates respect for the client's autonomy.
• B This behavior is viewed as a result of anger turned inward.
• C Denying this activity may precipitate an increased level of anxiety. (Correct answer)
• D Successful performance of independent activities enhances self-esteem.