An advanced practice nurse has identified a nursing diagnosis of impaired social interaction for a client with obsessive-compulsive disorder. An appropriate outcome for this problem would be that the client will:
1. Convince peers to join in the performance of the rituals
2. Speak of the baselessness of her obsessions in group
3. Avoid obsessing while interacting with the nurse
4. Describe increasing control over intrusive thoughts
ANS: 4
It is desirable for the client to experience a sense of being able to control the obsessive thinking. 1. This would be inappropriate. 2. Clients with OCD often speak of their obsessions as being "silly and senseless," so this outcome shows no progress. 3. This is too short-term to be of endur-ing value to the client.
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