Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder?
a. "I have to keep checking to see where my car keys are.".
b. "My legs feel weak most of the time.".
c. "I'm afraid to go out in public.".
d. "I keep reliving the rape.".
ANS: A
Recurring doubt (obsessive thinking) and the need to check (compulsive behavior) suggest
obsessive-compulsive disorder. The repetitive behavior is designed to decrease anxiety but fails and
must be repeated. Option B is more in keeping with a somatoform disorder. Option C is associated
with agoraphobia and option D with posttraumatic stress disorder.
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