4/4/25, 5:46 NR509 Midterm |
PM
NR509 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED A++
Terms in this set (117)
A 23-year-old physician assistant b. Explain how the examination will proceed.
(PA) student found that she felt
nervous when called upon to
examine men in her age group. On
one occasion, she encountered a
young male patient who appeared
embarrassed to see her walk into
the room. What should the PA do to
minimize their mutual discomfort?
a.Adjust lighting so it is tangential
to the patient's body.
b. Explain how the
examination will proceed.
c. Ask the patient where he comes
from.
d. Explain that she is a PA student.
e. Provide ongoing
interpretation of findings.
1/32
,4/4/25, 5:46 NR509 Midterm |
PM
A 34-year-old male with a history of c. Following the patient's lead to understand their thoughts, ideas,
complex social and medical needs concerns, and requests
(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,
A 17-year-old male presents to a d. Using nonverbal communication to encourage the patient to
sexually transmitted disease clinic expand their narrative
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
2/32
,4/4/25, 5:46 NR509 Midterm |
PM
A 42-year-old female c. Feelings, ideas, function, and expectations
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
A 39-year-old nurse who is a well- c. Obtain a more complete description of problems.
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.
3/32
, 4/4/25, 5:46 NR509 Midterm |
PM
A 29-year-old female professional b. Validating and empathetic with open-ended questions
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
A 36-year-old female air traffic b. Recognizing the patient's emotions by asking or confirming how
controller presents to her primary she feels about the event
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 then 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
expressing the same feeling on
behalf of the patient
b. Recognizing the patient's
emotions by asking or con
4/32
PM
NR509 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED A++
Terms in this set (117)
A 23-year-old physician assistant b. Explain how the examination will proceed.
(PA) student found that she felt
nervous when called upon to
examine men in her age group. On
one occasion, she encountered a
young male patient who appeared
embarrassed to see her walk into
the room. What should the PA do to
minimize their mutual discomfort?
a.Adjust lighting so it is tangential
to the patient's body.
b. Explain how the
examination will proceed.
c. Ask the patient where he comes
from.
d. Explain that she is a PA student.
e. Provide ongoing
interpretation of findings.
1/32
,4/4/25, 5:46 NR509 Midterm |
PM
A 34-year-old male with a history of c. Following the patient's lead to understand their thoughts, ideas,
complex social and medical needs concerns, and requests
(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,
A 17-year-old male presents to a d. Using nonverbal communication to encourage the patient to
sexually transmitted disease clinic expand their narrative
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
2/32
,4/4/25, 5:46 NR509 Midterm |
PM
A 42-year-old female c. Feelings, ideas, function, and expectations
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
A 39-year-old nurse who is a well- c. Obtain a more complete description of problems.
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.
3/32
, 4/4/25, 5:46 NR509 Midterm |
PM
A 29-year-old female professional b. Validating and empathetic with open-ended questions
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
A 36-year-old female air traffic b. Recognizing the patient's emotions by asking or confirming how
controller presents to her primary she feels about the event
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 then 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
expressing the same feeling on
behalf of the patient
b. Recognizing the patient's
emotions by asking or con
4/32
