While administering an admission assessment for a client with obsessive-compulsive disorder (OCD), which of the following is the best technique for the nurse to use?
A) Simple questions with yes/no responses
B) Short questions that require one or two sentences to answer
C) Stopping the patient and getting them to focus on the topic when they start to ramble
D) Calm, nonauthoritarian approach with patience and active listening
Ans: D
Establishing a therapeutic relationship with a client with OCD requires patience and active listening. The individual may go to great lengths to explain some minute aspect of her or his life. It is important not to interrupt or rush these explanations. Being unable to finish thoughts increases the client's anxiety and frustration. The nurse should interact with the individual in a calm, nonauthoritarian fashion without exhibiting any disapproval of the client or the client's behaviors while demonstrating empathy about the distress that the disorder has caused. The other responses would only heighten the client's anxiety.
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