You are teaching a new NP student about the stepped approach…

You are teaching a new NP student about the stepped approach to pain management. If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Which progression correctly follows evidence-based guidelines?

A 67-year-old patient with rheumatoid arthritis has been on…

A 67-year-old patient with rheumatoid arthritis has been on 10 mg of prednisone daily for the past 6 months. At today’s visit, they report back pain and have a slight stooped posture. What long-term complication should the clinician suspect and evaluate for?

A 58-year-old patient with generalized anxiety disorder has…

A 58-year-old patient with generalized anxiety disorder has been taking alprazolam 1 mg three times daily for the past 10 years. During a routine visit, they express interest in discontinuing the medication. What is the most appropriate initial strategy to minimize withdrawal symptoms and ensure a safe taper?