What should be prioritized when planning care for a client with obsessive-compulsive disorder (OCD)?

When planning care for a client with obsessive-compulsive disorder (OCD), establishing a trusting nurse-client relationship should be prioritized. This trust is essential for effective treatment because it creates a safe space where clients feel comfortable sharing their thoughts and behaviors, including their obsessions and compulsions. A strong therapeutic alliance encourages open communication, which can facilitate the client's engagement in therapy and improve treatment outcomes.

Furthermore, a trusting relationship can help the nurse better understand the client's challenges with OCD, allowing for tailored interventions that address their specific needs. It also provides the emotional support clients may require as they navigate their treatment journey and confront their anxiety and compulsive behaviors.

While the other options are important components of care—such as monitoring for behaviors, demanding active participation, and educating on self-care—none can be effectively implemented unless a foundation of trust and rapport is established first. This relationship is critical to support the client's efforts in managing their symptoms and participating in their own care plan.