The intervention most appropriate for the nurse to take when working with a client with obsessive-compulsive disorder is to:
1. Interrupt the ritualistic behavior when observed.
2. Discuss the need to incorporate the behavior with other hospital routines.
3. Confront the client and ask what purpose the behavior serves.
4. Tell the client that the behavior is unacceptable and must end.
2. Discuss the need to incorporate the behavior with other hospital routines.
Rationale:
The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, since this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, since the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.
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