The home care nurse observes a client scrubbing areas throughout the house over and over, especially areas where the family gathers. Prior to planning care for this client, which must the nurse assess?
A) If the client is forgetful
B) If the client vomits during cleaning
C) How frequently the client cleans the house
D) The impact of symptoms on the family system
Answer: D
Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently the client cleans the house and whether vomiting occurs during cleaning may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.
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