A nurse is explaining the diagnostic criteria for obsessive-compulsive disorder (OCD) to a group of nursing students. Which of the following statements accurately reflects one of the criteria for diagnosing OCD?

Choice A rationale:

Taking the SSRI in the morning might be recommended to mitigate potential sleep disturbances related to the medication. However, the client's reported difficulty sleeping is likely influenced by factors beyond the timing of medication administration.

Choice B rationale:

The correct response addresses lifestyle modifications that can improve sleep quality. Caffeine and alcohol are known to disrupt sleep, especially when taken close to bedtime. Avoiding these substances can promote better sleep for the client.

Choice C rationale:

Regular exercise can indeed contribute to improved sleep, but its effect might vary for individuals. While exercise can be part of a healthy routine, it might not directly address the client's reported difficulty sleeping due to the SSRI.

Choice D rationale:

Taking a warm bath before bed can promote relaxation and potentially aid in sleep, but it might not be as effective in resolving the client's specific sleep problems related to SSRI use.

Choice A rationale:

Teach the client relaxation techniques. While teaching relaxation techniques can be beneficial, it may not directly address the client's compulsion to wash their hands repeatedly. OCD involves managing distressing thoughts and compulsions through specific interventions.

Choice B rationale:

Encourage the client to talk about their thoughts and feelings. While promoting open communication is generally important, it may not be the most effective intervention for directly addressing the client's compulsion to wash their hands. OCD interventions often involve exposure and response prevention strategies.

Choice C rationale:

Assist the client in developing a hierarchy of feared situations. This is the correct answer. Helping the client develop a hierarchy of feared situations is a key intervention in addressing OCD. This approach is part of exposure and response prevention therapy, where clients gradually face their fears without engaging in compulsive behaviors.

Choice D rationale:

Praise the client for decreasing the frequency of handwashing. While positive reinforcement can be useful, it may not be the priority intervention for someone with OCD. The focus should be on structured interventions that challenge and reduce the compulsive behaviors over time.