Abstract
The purpose of research is the expansion of knowledge. Research with greatest impact on the discipline is that which expands knowledge to enable the provision of effective care. Nursing, as an applied science, responds to changes in the knowledge base with concomitant changes in the application of the nursing process. OCD is an example of an expansion in knowledge after a history of care based on a limited understanding of the etiology of the disorder. The impact on the nursing care of the client with OCD includes the importance of careful assessment with attention to behaviors, feelings, and cognitions. The implementation of nursing actions is guided by a focus on the present and includes physical and emotional support provided for needs created by both the symptoms of OCD and the accompanying symptoms of anxiety and depression, as well as client education regarding OCD and the safe use of clomipramine when it is prescribed.
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