NR 509 / NR509 Advanced Physical Assessment
Midterm Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
1. A 39-year-old nurse who is a well-established patient complains of
irregularmenstrual periods and pelvic pain. She says that she is having
trouble sleep-ing and asks whether she could be given a "sleeping pill." The
patient also says she is thinking of leaving her job. What is the best "next
step" in caringfor this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
,d. Obtain blood for testing.
e. Ask about recent travel destinations
ANS: c. Obtain a more complete descriptionof problems.
2. A 29-year-old female professional athlete presents to a new primary care
provider with chronic menstrual complaints. She remarks to the nursing
staffthat, in the past, she has experienced a dismissal of her complaints
becauseof her high level of physical fitness and conditioning. She is seeking
a care provider who will explore the issue in more detail and work with her
particularconcerns. Which of the following is the description of the patient-
centered care this individual seeks?
a. Structured and clinician-centered with open-ended questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
,e. Factual and structured with active listening
ANS: b. Validating and empathetic withopen-ended questions
3. A 36-year-old female air traffic controller presents to her primary care
provider for a routine visit 3 months after losing her spouse to a lengthy
battle with a neurodegenerative disease. The patient denies any psychiatric
symptoms on review of systems and, in fact, states that she has slept better
in the last month than she had in the previous years. She endorses a healthy
support system, including the extended family of her deceased spouse,
withwhom she is still close. She becomes wistful and briefly tearful when
speakingof the plans that they had when they first married that were never
fulfilled; shethen changes the subject rapidly to whether her Pap smear is
due. Which of the following is an example of an empathetic response to this
patient?
a. Assuming that the event caused her to become depressed and
expressingthe same feeling on behalf of the patient
, b. Recognizing the patient's emotions by asking or confirming how she
feelsabout the event
c. By allowing the crying patient to look around the room for tissues to
permither an excuse to hide her face and defer her emotions
d. Presuming that the patient's emotions meet social expectations, such as
being depressed and even trau
ANS: b. Recognizing the patient's emotions by askingor confirming how she
feels about the event
4. A 63-year-old male presents to establish care at a new primary care clinic
to discuss issues with pain and fatigue. The clinician conducting the visit
begins with general historical questions but quickly becomes suspicious that
the patient is suffering from decompensated heart failure. When the
patient mentions that he has had vague chest pain since last night, the
clinician feelsthat the focus must be redirected to this potentially emergent
condition. Whichof the following interview techniques is the most
appropriate to effectively manage this visit?
Midterm Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
1. A 39-year-old nurse who is a well-established patient complains of
irregularmenstrual periods and pelvic pain. She says that she is having
trouble sleep-ing and asks whether she could be given a "sleeping pill." The
patient also says she is thinking of leaving her job. What is the best "next
step" in caringfor this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
,d. Obtain blood for testing.
e. Ask about recent travel destinations
ANS: c. Obtain a more complete descriptionof problems.
2. A 29-year-old female professional athlete presents to a new primary care
provider with chronic menstrual complaints. She remarks to the nursing
staffthat, in the past, she has experienced a dismissal of her complaints
becauseof her high level of physical fitness and conditioning. She is seeking
a care provider who will explore the issue in more detail and work with her
particularconcerns. Which of the following is the description of the patient-
centered care this individual seeks?
a. Structured and clinician-centered with open-ended questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
,e. Factual and structured with active listening
ANS: b. Validating and empathetic withopen-ended questions
3. A 36-year-old female air traffic controller presents to her primary care
provider for a routine visit 3 months after losing her spouse to a lengthy
battle with a neurodegenerative disease. The patient denies any psychiatric
symptoms on review of systems and, in fact, states that she has slept better
in the last month than she had in the previous years. She endorses a healthy
support system, including the extended family of her deceased spouse,
withwhom she is still close. She becomes wistful and briefly tearful when
speakingof the plans that they had when they first married that were never
fulfilled; shethen changes the subject rapidly to whether her Pap smear is
due. Which of the following is an example of an empathetic response to this
patient?
a. Assuming that the event caused her to become depressed and
expressingthe same feeling on behalf of the patient
, b. Recognizing the patient's emotions by asking or confirming how she
feelsabout the event
c. By allowing the crying patient to look around the room for tissues to
permither an excuse to hide her face and defer her emotions
d. Presuming that the patient's emotions meet social expectations, such as
being depressed and even trau
ANS: b. Recognizing the patient's emotions by askingor confirming how she
feels about the event
4. A 63-year-old male presents to establish care at a new primary care clinic
to discuss issues with pain and fatigue. The clinician conducting the visit
begins with general historical questions but quickly becomes suspicious that
the patient is suffering from decompensated heart failure. When the
patient mentions that he has had vague chest pain since last night, the
clinician feelsthat the focus must be redirected to this potentially emergent
condition. Whichof the following interview techniques is the most
appropriate to effectively manage this visit?
