A client diagnosed with ulcerative colitis also experiences obsessive compulsive anxiety disorder (OCD). In helping the client understand her illness, the nurse should respond with which of the following statements?
1. “Your ulcerative colitis has made you perfectionistic, and it has caused your OCD.”
2. “There is no relationship at all between your colitis and your OCD. They are separate disorders.”
3. “The perfectionism and anxiety related to your obsessions and compulsions have led to your colitis.”
4. “It is possible that your desire to have everything be perfect has caused stress that may have worsened your colitis, but there's no proof that either disorder caused the other.”
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