The nurse is developing a plan of care for a client with chronic pain caused by osteoarthritis. The client's pain has been severe and prolonged. Which of the following would the nurse identify as a priority assessment?

Correct Answer: D

Rationale: The correct answer is D: Depression. Depression is a common comorbidity with chronic pain and can exacerbate the client's overall condition. The nurse should prioritize assessing for depression as it can impact the client's pain management, adherence to treatment, and overall quality of life. Grief, panic disorder, and bulimia are important considerations but may not directly impact the client's chronic pain management as significantly as depression. It is crucial for the nurse to address the client's mental health needs to provide holistic care and improve outcomes.

Correct Answer: D

Rationale: The correct answer is D: Paranoia. Paranoia in patients with schizophrenia poses the greatest risk for injury to others as it can lead to aggressive behavior, violence, or harm towards others due to the patient's irrational belief that others are trying to harm them. This can result in dangerous situations where the patient may act out in self-defense or in an attempt to protect themselves from perceived threats. Explanation of other choices: A: Depersonalization does not typically lead to physical harm to others but rather a sense of detachment from oneself. B: Pressured speech may be a symptom of mania or anxiety disorders, but it is not directly linked to physical harm towards others. C: Negative symptoms refer to a decrease in normal emotional responses or other functions, which do not inherently pose a direct risk of injury to others.

Correct Answer: C

Rationale: The correct answer is C: Tolerance. Opioid use disorder is characterized by the need for increased amounts of opioids to achieve the desired effect over time, which is known as tolerance. This occurs due to physiological changes in the body. Choices A and B are incorrect as withdrawal symptoms, including pupillary constriction, sedation, and insomnia, are typically seen in opioid use disorder. Choice D is incorrect as individuals with opioid use disorder often require larger amounts of the drug to achieve the same high due to tolerance, not smaller amounts.

Correct Answer: C

Rationale: The correct answer is C: St. John's wort. St. John's wort can interact with antidepressant medications, leading to serotonin syndrome or decreasing the effectiveness of the antidepressants. It is important for the nurse to caution the patient about potential interactions. Fish oil (A), SAMe (B), and melatonin (D) do not have significant interactions with antidepressant medications, making them safe options for patients with major depression.

Correct Answer: C

Rationale: The correct answer is C because user groups in the digital age have indeed evolved to utilize digital platforms for broader reach and acquiring digital health information. This evolution allows users to connect with a wider audience and access a vast amount of health-related information online. User groups are no longer limited by geographic boundaries and can provide support and resources to individuals regardless of their location. Choice A is incorrect because user groups have not decreased in number but rather expanded due to technology. Choice B is incorrect as user groups can serve various purposes, including health-care support. Choice D is incorrect as user groups continue to play a significant role in providing support and information to individuals seeking help in the digital age.