A patient is being treated on the mental health unit for an anxiety disorder. The patient approaches the nurse and reports feeling dizzy and weak, with a sensation of a racing heart. The nursing care plan includes interventions of imagery exercises and as-needed lorazepam (Ativan) for symptoms of anxiety. What should the nurse do first?

Choice A reason: Consuming alcohol as a coping mechanism for stress, especially before work, is concerning and unprofessional for a healthcare provider, as it can impair judgment and performance.

Choice B reason: Seeking advice from friends before asking someone out is a common social behavior and not typically a cause for concern.

Choice C reason: Taking deep breaths to manage anxiety is a healthy coping strategy and is not a cause for concern.

Choice D reason: Studying late into the night might indicate a high level of dedication or poor time management, but it is not inherently concerning unless it leads to chronic sleep deprivation.

Choice A reason: Clients with OCD often engage in compulsive behaviors, such as cleaning, to manage their anxiety levels. Recognizing this can help the nurse provide appropriate support and interventions.

Choice B reason: While the tasks may seem useful, the compulsive nature of the behavior is driven by anxiety rather than a focus on productivity.

Choice C reason: The behavior is not about limiting social interaction; it is a manifestation of the client's OCD.

Choice D reason: The behavior is not intended to manipulate or control others but is a symptom of the client's OCD.