A client has been compliant with antidepressant therapy but states, "The meds don't seem to be working anymore." They have no immediate family in the vicinity and are estranged from siblings, saying, "They got over me a long time ago." The client acknowledges having a few friends but expresses, "I don't want to burden them with my stuff. I'm not worth that." Which factors should the nurse consider when evaluating the client's support systems? (Select all that apply.)

Choice A reason: While OCD behaviors may appear aggressive or impulsive, they are typically performed to reduce anxiety rather than prevent aggressive impulses.

Choice B reason: Manipulation of others is not a common goal of OCD behaviors; these behaviors are more self-directed and aimed at managing the individual's own anxiety.

Choice C reason: Decreasing time for social interaction is not the primary intent of OCD behaviors; rather, these behaviors are compulsions that the individual feels driven to perform, often to alleviate anxiety.

Choice D reason: Repetitive cleaning in OCD is a compulsion that aims to decrease anxiety caused by obsessive thoughts, often about contamination or disorder.

Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.

Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.

Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.

Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.

Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.