NR 509 midterm | Questions and Answers
| 2026 Update | Complete Solution Guide
• Empathic responses -✓✓capacity to identify with the patient and feel the patient's pain
as your own, then respond in a supportive manner
• Guided questioning -✓✓Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
also known as adaptive questioning
• Reassurance -✓✓appropriate way to help the patient feel that problems have been
fully understood and are being addressed
• Partnering -✓✓When building rapport with patients, express your commitment to an
ongoing relationship
• Transitions -✓✓Inform your patient when you are changing directions during the
interview.
• Empowering the patient -✓✓-to ask questions
-express their concerns
-probe your recommendations
in order to encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.
• Comprehensive exam used for?
Includes?
Focused exam used for? -✓✓-new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
• Articular structures -✓✓articular cartilage
, intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
• Articular disease signs and symptoms -✓✓crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
Swelling
Tenderness of the joint
• Extra-articular structures -✓✓bursae
bone
fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
• Extra-articular disease involves -✓✓point of focal tenderness in regions adjacent to
articular structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
• Nonarticular conditions -✓✓trauma/fracture, fibromyalgia, polymyalgia rheumatica,
bursitis, tendinitis
• Intra-articular (acute, < 6 weeks): acute arthritis -✓✓gout
infectious arthritis
pseudogout
Reiter syndrome
• Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3 joints
involved -✓✓Indolent infection
| 2026 Update | Complete Solution Guide
• Empathic responses -✓✓capacity to identify with the patient and feel the patient's pain
as your own, then respond in a supportive manner
• Guided questioning -✓✓Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
also known as adaptive questioning
• Reassurance -✓✓appropriate way to help the patient feel that problems have been
fully understood and are being addressed
• Partnering -✓✓When building rapport with patients, express your commitment to an
ongoing relationship
• Transitions -✓✓Inform your patient when you are changing directions during the
interview.
• Empowering the patient -✓✓-to ask questions
-express their concerns
-probe your recommendations
in order to encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.
• Comprehensive exam used for?
Includes?
Focused exam used for? -✓✓-new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
• Articular structures -✓✓articular cartilage
, intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
• Articular disease signs and symptoms -✓✓crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
Swelling
Tenderness of the joint
• Extra-articular structures -✓✓bursae
bone
fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
• Extra-articular disease involves -✓✓point of focal tenderness in regions adjacent to
articular structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
• Nonarticular conditions -✓✓trauma/fracture, fibromyalgia, polymyalgia rheumatica,
bursitis, tendinitis
• Intra-articular (acute, < 6 weeks): acute arthritis -✓✓gout
infectious arthritis
pseudogout
Reiter syndrome
• Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3 joints
involved -✓✓Indolent infection
