sid c.7 Mr. Ryan is admitted to the hospital with a diagnosis of OCD. He exhibits high use of defense mechanisms, has automatic behaviors, physical discomfort, feelings of dread, is trembling, and is ritualistically washing his hands. You assess his level of anxiety as severe because you know that severe level of symptoms would include: Select all that apply. pupils constrict diaphoresis, clammy skin Vital signs increased Muscles tensed, ready for action Increased sexual urges