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Original Question

A PMHNP is managing a patient with comorbid opioid use disorder (OUD) and generalized anxiety disorder. The patient reports chronic pain and requests opioid analgesics. Which of the following is the most appropriate clinical action within the PMHNP’s scope of practice and ethical responsibility? Group of answer choices Initiate buprenorphine-naloxone therapy while coordinating pain management in a multidisciplinary team Deny the patient any treatment due to history of opioid use disorder and discharge them from care Refer the patient for cognitive behavioral therapy and advise using over-the-counter NSAIDs only Prescribe a short-acting opioid while continuing to monitor the patient’s anxiety symptoms

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