The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication affecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can affect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.

Choice A reason: Medication is not a defining feature of all mental illnesses. While medications can be a part of treatment for many psychiatric conditions, not all mental illnesses require medication. Some may be managed with psychotherapy, lifestyle changes, or other non-pharmacological interventions.

Choice B reason: Self-awareness or acknowledgment of difficulties is not a prerequisite for a mental illness diagnosis. Many individuals may not realize they have a mental health condition, especially in cases of severe mental illness or when insight is affected.

Choice C reason: The presence of difficulties in functioning that cause significant distress or impairment is a core aspect of mental illness. These difficulties can manifest in various areas such as social, work, or family activities, and are a key factor in diagnosing mental health conditions.

Choice D reason: While physiological symptoms can accompany certain mental health conditions, they are not a defining feature of all mental illnesses. Mental illness primarily involves significant changes in thinking, emotion, and/or behavior.