Cаse:A 38-yeаr-оld pаtient presents with chrоnic plaque psоriasis affecting approximately 10% of their body surface area, including the elbows, knees, and scalp. The patient reports mild itching and embarrassment about the visible plaques. They have been inconsistently using an over-the-counter emollient but no prescription treatments. Question:As the family nurse practitioner, outline your treatment goals, describe the initial pharmacologic management plan, and identify when referral to dermatology is appropriate.