A patient diagnosed with obsessive-compulsive disorder (OCD) tells a nurse, "I'm such a stupid person for behaving this way.". The most therapeutic nursing response would be to:
a. change the subject.
b. agree that the behavior is problematic.
c. ask about the feelings experienced before using the behavior.
d. support the insight by asking for immediate behavioral change.
C
Helping the patient connect anxiety and the use of the symptom is an initial therapeutic step. The nurse acknowledges the patient's feeling, attempts to label it, helps the patient describe feelings, and associates them with the use of a specific behavioral pattern.
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