A client with obsessive-compulsive disorder spends 2 hours each morning checking and rechecking ...

A client with obsessive-compulsive disorder spends 2 hours each morning checking and rechecking
  her home before leaving for work,
 
  then comes home on the lunch hour and spends more than an hour
  rechecking faucets, stove burners, appliances, window and door locks, and so forth. The checking
  continues after work and during the evening. The client spends so much time in ritualistic behavior
  that grooming is poor and social activities are nonexistent. Nursing diagnoses the nurse can
  immediately rule out include (more than one answer may be correct)
  A. ineffective role performance relative to time spent in rituals.
  B. impaired environmental interpretation syndrome relative to confusion.
  C. ineffective coping relative to use of compulsive behavior.
  D. social isolation relative to excessive use of time to perform rituals.
  E. defensive coping relative to feelings of superiority to others.
  F. dressing/grooming self-care deficit relative to time spent in rituals.