NE NURS6026
Biophysical Concepts for Advanced
Nursing Practice 2
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, 1.
Case: A 47‑year‑old woman with fibromyalgia reports widespread
pain, fatigue, and sleep disturbances. During her assessment, the nurse
practitioner notes that she also exhibits signs of depression and social
withdrawal.
Question: Which biopsychosocial factor is most likely to amplify her
pain experience according to current research?
A. Increased physical exercise
B. Social isolation
C. Depression
D. Improved nutritional intake
Correct ANS: C. Depression
Rationale: Depression is known to heighten pain sensitivity and
negatively affect coping strategies in chronic conditions such as
fibromyalgia. While social isolation also contributes, extensive evidence
supports depression as a key amplifier of pain perception.
---
2.
Case: A nurse educator reviews the case of a low-income patient with
poorly controlled diabetes who faces limited access to healthy food,
inadequate housing, and little social support.
Question: In the biopsychosocial model, which dimension is most
directly highlighted by this scenario?
A. Biomedical factors
B. Psychological factors
C. Social determinants of health
D. Genetic predisposition
Correct ANS: C. Social determinants of health
Rationale: Social determinants, such as income, housing, and social
support, directly influence health outcomes and are a central tenet of the
biopsychosocial approach to understanding disparities in chronic disease
management.
©2025
,---
3.
Case: A nurse practitioner observes that a patient with chronic
obstructive pulmonary disease (COPD) not only exhibits physical
symptoms but also high levels of anxiety that worsen breathlessness.
Question: Which psychological concept best explains this interaction?
A. Cognitive dissonance
B. Anxiety-induced hypervigilance
C. Learned helplessness
D. Operant conditioning
Correct ANS: B. Anxiety-induced hypervigilance
Rationale: Anxiety can make patients more sensitive to bodily
sensations (hypervigilance), thereby worsening the subjective experience
of dyspnea and other symptoms associated with COPD.
---
4.
Case: An advanced practice nurse is developing an intervention for
patients with major depressive disorder. In a focus group, patients
indicate that a lack of social connectedness has been a significant barrier
to their recovery.
Question: Which biopsychosocial intervention is most indicated based
on this feedback?
A. Prescribing higher doses of medication
B. Incorporating peer support groups into treatment
C. Increasing short-term therapy sessions only
D. Reducing physical activity requirements
Correct ANS: B. Incorporating peer support groups into treatment
Rationale: Peer support groups address the social dimension by
reducing isolation and fostering social engagement, which is shown to
complement clinical treatment in depression.
©2025
, ---
5.
Case: A nurse educator is designing a research study to evaluate the
impact of a mindfulness-based stress reduction (MBSR) program on
chronic pain patients.
Question: Which research design is most appropriate for assessing the
biopsychosocial impact of MBSR?
A. Cross-sectional survey
B. Randomized controlled trial
C. Case study
D. Historical cohort design
Correct ANS: B. Randomized controlled trial
Rationale: An RCT is the gold standard for evaluating interventions,
allowing for the control of confounding factors and providing robust
evidence on the effects of the MBSR program on both psychological and
physical outcomes.
---
6.
Case: In clinical practice, a nurse practitioner encounters a patient
with chronic heart failure who also experiences significant episodes of
anxiety and mood fluctuation, influencing adherence to medications and
self-care.
Question: Which aspect of the biopsychosocial model does this case
illustrate?
A. The exclusive role of biomedical factors
B. The influence of psychological factors on physical health
C. The negligible impact of social factors on treatment adherence
D. Genetic predisposition as the sole cause of non-adherence
Correct ANS: B. The influence of psychological factors on physical
health
Rationale: This case underscores that psychological factors, such as
anxiety and mood disturbances, can significantly affect self-care,
©2025
Biophysical Concepts for Advanced
Nursing Practice 2
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, 1.
Case: A 47‑year‑old woman with fibromyalgia reports widespread
pain, fatigue, and sleep disturbances. During her assessment, the nurse
practitioner notes that she also exhibits signs of depression and social
withdrawal.
Question: Which biopsychosocial factor is most likely to amplify her
pain experience according to current research?
A. Increased physical exercise
B. Social isolation
C. Depression
D. Improved nutritional intake
Correct ANS: C. Depression
Rationale: Depression is known to heighten pain sensitivity and
negatively affect coping strategies in chronic conditions such as
fibromyalgia. While social isolation also contributes, extensive evidence
supports depression as a key amplifier of pain perception.
---
2.
Case: A nurse educator reviews the case of a low-income patient with
poorly controlled diabetes who faces limited access to healthy food,
inadequate housing, and little social support.
Question: In the biopsychosocial model, which dimension is most
directly highlighted by this scenario?
A. Biomedical factors
B. Psychological factors
C. Social determinants of health
D. Genetic predisposition
Correct ANS: C. Social determinants of health
Rationale: Social determinants, such as income, housing, and social
support, directly influence health outcomes and are a central tenet of the
biopsychosocial approach to understanding disparities in chronic disease
management.
©2025
,---
3.
Case: A nurse practitioner observes that a patient with chronic
obstructive pulmonary disease (COPD) not only exhibits physical
symptoms but also high levels of anxiety that worsen breathlessness.
Question: Which psychological concept best explains this interaction?
A. Cognitive dissonance
B. Anxiety-induced hypervigilance
C. Learned helplessness
D. Operant conditioning
Correct ANS: B. Anxiety-induced hypervigilance
Rationale: Anxiety can make patients more sensitive to bodily
sensations (hypervigilance), thereby worsening the subjective experience
of dyspnea and other symptoms associated with COPD.
---
4.
Case: An advanced practice nurse is developing an intervention for
patients with major depressive disorder. In a focus group, patients
indicate that a lack of social connectedness has been a significant barrier
to their recovery.
Question: Which biopsychosocial intervention is most indicated based
on this feedback?
A. Prescribing higher doses of medication
B. Incorporating peer support groups into treatment
C. Increasing short-term therapy sessions only
D. Reducing physical activity requirements
Correct ANS: B. Incorporating peer support groups into treatment
Rationale: Peer support groups address the social dimension by
reducing isolation and fostering social engagement, which is shown to
complement clinical treatment in depression.
©2025
, ---
5.
Case: A nurse educator is designing a research study to evaluate the
impact of a mindfulness-based stress reduction (MBSR) program on
chronic pain patients.
Question: Which research design is most appropriate for assessing the
biopsychosocial impact of MBSR?
A. Cross-sectional survey
B. Randomized controlled trial
C. Case study
D. Historical cohort design
Correct ANS: B. Randomized controlled trial
Rationale: An RCT is the gold standard for evaluating interventions,
allowing for the control of confounding factors and providing robust
evidence on the effects of the MBSR program on both psychological and
physical outcomes.
---
6.
Case: In clinical practice, a nurse practitioner encounters a patient
with chronic heart failure who also experiences significant episodes of
anxiety and mood fluctuation, influencing adherence to medications and
self-care.
Question: Which aspect of the biopsychosocial model does this case
illustrate?
A. The exclusive role of biomedical factors
B. The influence of psychological factors on physical health
C. The negligible impact of social factors on treatment adherence
D. Genetic predisposition as the sole cause of non-adherence
Correct ANS: B. The influence of psychological factors on physical
health
Rationale: This case underscores that psychological factors, such as
anxiety and mood disturbances, can significantly affect self-care,
©2025
