A client with OCD tells the nurse, "Thinking these thoughts and doing all my rituals is beyond being silly. I know others laugh behind my back. I sometimes think I can control things, but I al-ways find I can't
I don't know if I can continue to live this way…being a burden on my family and being of no use to myself." The reply that shows the best understanding of the client's priority risk is:
1. "How are you sleeping?"
2. "Are your rituals interfering with eating?"
3. "Have you been thinking about suicide?
4. "What makes you think others are laughing behind your back?
ANS: 3
Clients with anxiety disorders should always be assessed for the presence of depression and sui-cidal ideation, the priority risk to safety. This client has admitted feeling powerless to control her symptoms, being a burden, and being useless, in addition to wondering if she can continue to live the way she has been. There is ample reason for asking about suicidal ideation. Options 1 and 2 do not address the priority risk. Option 4 is not a therapeutic inquiry.
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