NR 509 CHAMBERLAIN TESTS 2 COMPETENCY
REVIEW 2026 MOCK TEST COMPLETE KEY
INSIGHTS
◉ A 34-year-old male with a history of complex social and medical
needs (including current substance abuse) presents to a primary
care teaching clinic. The patient has experienced a number of
adversarial relationships with prior clinicians, including voluntarily
leaving two practices within the previous year and being asked to
leave care at a third clinic due to misbehavior. The attending
physician desires to utilize the approaches to this patient that are
most likely lead to comprehensive care and patient compliance.
Which of the following is the most appropriate interview style for
the attending physician to use?
a. Focusing on the need for immediate diagnostic certainty over
personal connection
b. Taking charge of the interaction to meet the clinician's desire to
acquire diagnostic information
c. Following the patient's lead to understand their thoughts, ideas,
concerns, and requests
d. Deferring respect, empathy,.
Answer: c. Following the patient's lead to understand their thoughts,
ideas, concerns, and requests
,◉ A 17-year-old male presents to a sexually transmitted disease
clinic at the behest of his brother, who convinced the patient to
attend the clinic after he disclosed that he prefers homosexual
partners but is afraid that his last partner may have given him an
infection. The patient expresses to the intake nurse that he is
unashamed of his sexual orientation and will not stay through the
visit if he feels that he is dismissed or discriminated against because
of it. The nurse practitioner receives this communication prior to
entering the examination room and decides to employ active
listening to best connect with the patient at this critical juncture in
his care with the clinic. Which of the following is an example of an
active listening technique?
a. Ignoring visual cues to focus on the patient's exact words
b. Setting aside the patient's emotional state to focus on his medical
needs
c. Paring down the patient's conce.
Answer: d. Using nonverbal communication to encourage the patient
to expand their narrative
◉ A 42-year-old female mathematician presents for follow-up care
regarding a new diagnosis of systemic lupus erythematosus 6
months ago after a lengthy diagnostic process during which she was
debilitated with fatigue and joint pain. Since her diagnosis, she has
been minimally compliant with medications and has switched her
rheumatology provider twice. She continues to feel ill, and, in
explanation for her lack of adherence to the prescribed treatment,
,she simply says, "I don't like it." At this initial visit with her third
rheumatology provider, the clinician elects to explore the issues
behind her noncompliance before engaging in diagnostics and
treatment using the FIFE model. Which of the following best defines
the elements of the FIFE model?
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em.
Answer: c. Feelings, ideas, function, and expectations
◉ A 39-year-old nurse who is a well-established patient complains
of irregular menstrual periods and pelvic pain. She says that she is
having trouble sleeping 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 caring for 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..
Answer: c. Obtain a more complete description of problems.
, ◉ A 29-year-old female professional athlete presents to a new
primary care provider with chronic menstrual complaints. She
remarks to the nursing staff that, in the past, she has experienced a
dismissal of her complaints because of 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 particular
concerns. 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.
Answer: b. Validating and empathetic with open-ended questions
◉ 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, with whom she is still close.
She becomes wistful and briefly tearful when speaking of the plans
that they had when they first married that were never fulfilled; she
REVIEW 2026 MOCK TEST COMPLETE KEY
INSIGHTS
◉ A 34-year-old male with a history of complex social and medical
needs (including current substance abuse) presents to a primary
care teaching clinic. The patient has experienced a number of
adversarial relationships with prior clinicians, including voluntarily
leaving two practices within the previous year and being asked to
leave care at a third clinic due to misbehavior. The attending
physician desires to utilize the approaches to this patient that are
most likely lead to comprehensive care and patient compliance.
Which of the following is the most appropriate interview style for
the attending physician to use?
a. Focusing on the need for immediate diagnostic certainty over
personal connection
b. Taking charge of the interaction to meet the clinician's desire to
acquire diagnostic information
c. Following the patient's lead to understand their thoughts, ideas,
concerns, and requests
d. Deferring respect, empathy,.
Answer: c. Following the patient's lead to understand their thoughts,
ideas, concerns, and requests
,◉ A 17-year-old male presents to a sexually transmitted disease
clinic at the behest of his brother, who convinced the patient to
attend the clinic after he disclosed that he prefers homosexual
partners but is afraid that his last partner may have given him an
infection. The patient expresses to the intake nurse that he is
unashamed of his sexual orientation and will not stay through the
visit if he feels that he is dismissed or discriminated against because
of it. The nurse practitioner receives this communication prior to
entering the examination room and decides to employ active
listening to best connect with the patient at this critical juncture in
his care with the clinic. Which of the following is an example of an
active listening technique?
a. Ignoring visual cues to focus on the patient's exact words
b. Setting aside the patient's emotional state to focus on his medical
needs
c. Paring down the patient's conce.
Answer: d. Using nonverbal communication to encourage the patient
to expand their narrative
◉ A 42-year-old female mathematician presents for follow-up care
regarding a new diagnosis of systemic lupus erythematosus 6
months ago after a lengthy diagnostic process during which she was
debilitated with fatigue and joint pain. Since her diagnosis, she has
been minimally compliant with medications and has switched her
rheumatology provider twice. She continues to feel ill, and, in
explanation for her lack of adherence to the prescribed treatment,
,she simply says, "I don't like it." At this initial visit with her third
rheumatology provider, the clinician elects to explore the issues
behind her noncompliance before engaging in diagnostics and
treatment using the FIFE model. Which of the following best defines
the elements of the FIFE model?
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em.
Answer: c. Feelings, ideas, function, and expectations
◉ A 39-year-old nurse who is a well-established patient complains
of irregular menstrual periods and pelvic pain. She says that she is
having trouble sleeping 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 caring for 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..
Answer: c. Obtain a more complete description of problems.
, ◉ A 29-year-old female professional athlete presents to a new
primary care provider with chronic menstrual complaints. She
remarks to the nursing staff that, in the past, she has experienced a
dismissal of her complaints because of 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 particular
concerns. 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.
Answer: b. Validating and empathetic with open-ended questions
◉ 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, with whom she is still close.
She becomes wistful and briefly tearful when speaking of the plans
that they had when they first married that were never fulfilled; she
