The nurse knows that which of the following BEST describes the client's need for the repetitive acts of handwashing?

C Handwashing assists the client to avoid undesirable thoughts and maintain some control over guilt and anxiety. D Handwashing helps to maintain the client in an active state to resist the effects of depression. A Handwashing represents an attempt to manipulate the environment to make it more comfortable. B Handwashing externalizes the anxiety from a source within the body to an acceptable substitute outside the body.