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: A

Rationale: The correct answer is A because it shows active listening and empathy by acknowledging the patient's nonverbal cue. By stating "I notice you keep looking toward the door," the nurse demonstrates understanding and opens up the opportunity for the patient to express any concerns or reasons for their behavior. This response validates the patient's feelings and encourages further communication. Choice B is incorrect because it dismisses the patient's behavior and does not address the underlying issue of why the patient is looking toward the door. Choice C is incorrect as it assumes the patient wants to end the discussion without confirming the patient's actual feelings or reasons for looking toward the door. Choice D is incorrect because it jumps to a solution without first addressing the patient's nonverbal communication. It may not be the environment that is causing the discomfort, so moving may not be the best approach without further exploration.

Correct Answer: C

Rationale: The correct answer is C: Avoidant personality disorder. Schizoid personality disorder is characterized by a lack of interest in social relationships, emotional coldness, and detachment. Individuals with schizoid personality traits often also exhibit symptoms of avoidant personality disorder, which involves feelings of inadequacy, hypersensitivity to negative evaluation, and avoidance of social interactions. This comorbidity is common because both disorders share similarities in their core features of social withdrawal and isolation. Depression (A), substance abuse (B), and anxiety (D) are not typically identified as the most common comorbid disorders with schizoid personality traits.

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: 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.