A client visits the clinic and complains of chronic pain in her leg as a result of a fall 6 months ago. Which of the following would be most important for the nurse to do first when developing the client's plan of care?

Correct Answer: A

Rationale: The correct answer is A: Acknowledge the client's pain. This is the most important step as it establishes trust, validates the client's experience, and shows empathy. By acknowledging the pain first, the nurse can build a therapeutic relationship with the client, which is crucial in developing an effective plan of care. Identifying situations that increase the pain (B) and having the client rate her pain (C) are important but secondary steps that can follow after acknowledging the pain. Reviewing the client's current medications (D) is also important but not the first priority in this scenario.

Correct Answer: D

Rationale: The correct answer is D: To have a less positive outcome. Gilbert's symptoms, including academic decline, social withdrawal, and fixation on locks, are indicative of schizophrenia. Given his early onset and gradual progression, his prognosis is less favorable. Schizophrenia is a chronic and severe mental disorder that can lead to significant impairments in daily functioning. While medication and psychosocial interventions can help manage symptoms, the course of schizophrenia is often characterized by relapses and remissions, making the overall outcome less positive. Therefore, option D is the most suitable choice based on Gilbert's presentation.

Correct Answer: D

Rationale: Step 1: Terry's increasing distraction and disengagement suggest a lack of readiness for change. Step 2: This behavior is common in individuals not prepared to address their issues. Step 3: Option D, "Not ready to change," accurately reflects Terry's current state. Summary: Option A is incorrect as boredom does not capture the severity of Terry's behavior. Option B, depression, is not supported by the information provided. Option C, bipolar disorder, is unlikely given the limited symptoms described.

Correct Answer: D

Rationale: The correct answer is D because it shifts the focus away from the monopolizing member and encourages participation from others, balancing the group dynamic. By asking who else would like to share feelings about the issue, the nurse leader promotes equal participation and prevents one member from dominating the discussion. A is incorrect because it directly addresses the monopolizing member's emotions, potentially escalating the situation. B is incorrect because it only addresses the individual's process, not the group dynamic. C is incorrect because it delves into personal experiences, which may not be relevant to the group's discussion.

Correct Answer: B

Rationale: The correct answer is B: social media platforms. They are commonly used for hosting online communities and support groups due to their user-friendly interface, accessibility, and communication features. Social media allows for easy interaction among members, sharing information, and building a sense of community. Video game forums (A) are more focused on gaming discussions. Encrypted email services (C) prioritize privacy and security in communication, not community-building. Corporate intranets (D) are internal networks for employees, not suitable for client and family support groups.