💊 NCLEX-RN Exam Prep

A client with Obsessive-Compulsive Disorder (OCD) spends 2-3 hours daily performing handwashing rituals, causing their hands to become chapped and raw. What is the nurse's most appropriate initial intervention?

A Immediately stop the client from performing the ritual.
B Encourage the client to verbalize feelings related to the rituals.
C Provide skin care for the client's hands and establish a predictable routine.
D Educate the client about the irrational nature of their compulsions.

✓ Correct Answer: Option C

The nurse's initial priority is to address the physical harm (chapped hands) and establish a predictable routine to manage anxiety, rather than immediately stopping the ritual, which can increase distress.

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