For the patient whose nursing diagnosis is Powerlessness related to an inability to control compulsive cleaning, the nurse must understand that the patient uses the cleaning to:
a. enhance her self-esteem.
b. reduce spread of illnesses.
c. exert control over her anxiety.
d. distract herself from her anxiety.
C
The primary gain achieved from the patient's use of these rituals is anxiety relief. Unfortunately, the anxiety relief is short lived, and the patient must frequently repeat the ritual. Cleaning may give the patient a sense of accomplishment, distract her temporarily, or reduce the risk of contagious disease spread, but these are not the primary reasons persons with obsessive-compulsive disorders engage in their rituals.
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