Questions: Which response would the nurse make to a client with obsessive-compulsive disorder who says, "I know that my hands aren't dirty, but I just can't stop washing them"? "Let's talk about why you feel that you have to wash your hands." "You're getting better; you're beginning to understand your problem." "Don't worry about it; these actions are part of your illness, and the feelings will pass." "I understand that-maybe we can work together to limit the number of times you wash them."

Which response would the nurse make to a client with obsessive-compulsive disorder who says, "I know that my hands aren't dirty, but I just can't stop washing them"?
"Let's talk about why you feel that you have to wash your hands."
"You're getting better; you're beginning to understand your problem."
"Don't worry about it; these actions are part of your illness, and the feelings will pass."
"I understand that-maybe we can work together to limit the number of times you wash them."

Transcript text: Which response would the nurse make to a client with obsessive-compulsive disorder who says, "I know that my hands aren't dirty, but I just can't stop washing them"? "Let's talk about why you feel that you have to wash your hands." "You're getting better; you're beginning to understand your problem." "Don't worry about it; these actions are part of your illness, and the feelings will pass." "I understand that-maybe we can work together to limit the number of times you wash them."

Solution

The answer is D: "I understand that-maybe we can work together to limit the number of times you wash them."

Explanation for each option:

A. "Let's talk about why you feel that you have to wash your hands."

This response might be helpful in a therapeutic setting, but it does not directly address the client's immediate concern or provide a practical solution. It may also inadvertently increase the client's anxiety by focusing on the compulsion.

B. "You're getting better; you're beginning to understand your problem."

While this response is positive and acknowledges the client's insight, it does not offer any practical support or strategies to manage the compulsion. It might also come across as dismissive of the client's distress.

C. "Don't worry about it; these actions are part of your illness, and the feelings will pass."

This response is dismissive and does not validate the client's feelings. It also fails to provide any practical assistance or coping strategies, which are crucial for someone dealing with obsessive-compulsive disorder (OCD).

D. "I understand that-maybe we can work together to limit the number of times you wash them."

This response is empathetic and supportive. It acknowledges the client's struggle and offers a collaborative approach to managing the compulsion. This can help the client feel understood and supported while also working towards a practical solution.

In summary, option D is the most appropriate response as it combines empathy with a practical approach to managing the client's symptoms.

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