Which client with OCD should the nurse prioritize seeing?

The client refusing to take medication should be prioritized because medication can play a critical role in managing obsessive-compulsive disorder (OCD). For individuals with OCD, symptoms can be severe and debilitating; therefore, consistent medication adherence is often necessary for symptom management and overall well-being. If a client is refusing medication, it raises significant concerns about their mental health and the effectiveness of their current treatment plan.

Addressing medication adherence is essential not only for the individual’s symptom relief but also for reducing the risk of potential escalation in anxiety and compulsive behaviors. In prioritizing this client, the nurse can offer education, support, and possibly explore any underlying reasons for the refusal, which can help in developing a more effective treatment strategy.

In contrast, the other clients mentioned are either stable or engaged in productive activities that indicate they may not be in immediate need of intervention. For example, those discussing hobbies or engaging socially may be demonstrating coping mechanisms and social skills, while a client participating in therapy is already receiving support. Therefore, focusing on the client’s refusal to take medication is critical in ensuring their safety and promoting a path toward better management of OCD.