A 48-year-old patient arrives for an intake appointment at an outpatient clinic. The patient is observed

A 48-year-old patient arrives for an intake appointment at an outpatient clinic. The patient is observed to deliberately touch the door frame seven times before entering the room. When sitting in the chair, the patient first taps the chair seat seven times and, once seated, taps the chair arm seven times. When asked about this behavior, the patient says that it is something they have been doing since adolescence. The tapping helps to relieve anxiety, and if it is not done, the patient is unable to concentrate on other tasks due to preoccupation with performing the tapping. Asked what will happen if the tapping is not performed, the patient expresses that they have had overwhelming fears that others around them be harmed if they do not tap objects. These tapping rituals take at least 2 hours per day, and the patient has only been able to work from home, as the behaviors are bothersome in the workplace. The patient is aware that this behavior is illogical, but the anxiety of not doing so is overwhelming. Where would the nurse practitioner document the patient’s worries about others in the mental status exam?

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