2025/2026 | NR 509 midterm
exam|COMPLETE QUESTIONS AND
VERIFIED ANSWERS |GET IT 100%
ACCURATE |SCORE A+
is the clinical encounter clinician-centered to patient-centered - ANS -both; needs to be a
balance of the clinician meeting their needs of the interaction and the patient feeling heard and
create personal dimension
patient-centered approach - ANS -Interviewing technique empowering the patient to provide a
candid and complete medical history
recognizes importance of patient concerns, feelings and emotions and understands the patients
personal contact of the symptoms/disease
FIFE model - ANS -mnemonic for patients perspective on the illness
Feelings (fears and concerns about the problem)
Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations
general structure of patient encounter (5 steps) - ANS -initiate the encounter
gather information
perform the physical examination
explaining and planning
closing the encounter
2 frameworks that continue throughout whole clinical encounter - ANS -relationship building
structuring the interview
what happens while initiating the encounter - ANS -greet the patient and set the
stage/preparation
what does it mean to set the stage - ANS -prepare for the interview
check your appearance
,make sure patient is comfortable and environment is conducive to private info being shared
what happens during the gathering information stage - ANS -initiate information gathering
history of present illness
past medical history
social history
explore patients perspective of disease and relevant background information
what happens during explaining and planning - ANS -provide correct amount and type of
information
negotiate plan of action
shared decision making
when asking patient about there pronouns it may be helpful to.... - ANS -share your own
pronouns
"in an effort to promote an inclusive and respectful environment, we use pronouns that are right
for us. The pronouns I prefer are......how about you what pronouns do you prefer?
the initial moments of your encounter lay the foundation for.... - ANS -your ongoing relationship
how to establish rapport - ANS -introduce yourself, explain your role and how you will be a part
of their care
3 dimensions of cultural humility - ANS -1) Self-awareness
2) Respectful communication
3) Collaborative partnerships
active listening - ANS -Closely listening to what the patient is communicating, connecting on an
emotional state to the patient.
use both verbal and nonverbal skills to encourage pt to expand on their feelings/concerns
Empathetic responses - ANS -capacity to identify with a patient and feel patients pain as your
own and respond in a supportive manner
"That must have been difficult for you."
"I understand, you're worried."
Non-verbal: offering a tissue to a crying patient; reaching out and gently touching a patient's
hand.
Therapeutic use of self: "I've had surgery before, so I can relate to what you're going through."
guided questioning - ANS -Helps to continue the patients story, shows sustained interest and
allows clinician to adapt questioning based on patient i.e.:
, -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
guided questioning aka - ANS -adaptive questioning
nonverbal communication - ANS -communication using body movements, gestures, and facial
expressions rather than speech
validation - ANS -affirm validity of patients emotional experience
"Your accident must have been terrifying. Car accidents are always unsettling because they
remind us how vulnerable we are. Perhaps that explains why you still feel upset,"
reassurance - ANS -first step is to identify and acknowledge the patients feelings
Helps pt feel that the problems have been fully understood and are being addressed
partnering - ANS -express commitment to an ongoing relationship
summarization - ANS -giving a summary of pts story to communicate that you have been
listening
transitions - ANS -inform pt when you are changing directions to prepare them for what comes
next
"now id like to ask some more questions about your past health"
empowering the patient - ANS -Empower pt to ask questions, express concerns, and probe
your recommendations
people first language - ANS -seeing individuals as people first and not as being defined by their
disorder/illness
i.e.: person with diabetes not diabetic, person with substance abuse not drug user
informed consent required elements - ANS -discuss nature of procedure or treatment
risks and benefits of the procedure or treatment
reasonable alternatives
risks and benefits of alternatives
assessment of the patients understanding go the first four elements
exam|COMPLETE QUESTIONS AND
VERIFIED ANSWERS |GET IT 100%
ACCURATE |SCORE A+
is the clinical encounter clinician-centered to patient-centered - ANS -both; needs to be a
balance of the clinician meeting their needs of the interaction and the patient feeling heard and
create personal dimension
patient-centered approach - ANS -Interviewing technique empowering the patient to provide a
candid and complete medical history
recognizes importance of patient concerns, feelings and emotions and understands the patients
personal contact of the symptoms/disease
FIFE model - ANS -mnemonic for patients perspective on the illness
Feelings (fears and concerns about the problem)
Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations
general structure of patient encounter (5 steps) - ANS -initiate the encounter
gather information
perform the physical examination
explaining and planning
closing the encounter
2 frameworks that continue throughout whole clinical encounter - ANS -relationship building
structuring the interview
what happens while initiating the encounter - ANS -greet the patient and set the
stage/preparation
what does it mean to set the stage - ANS -prepare for the interview
check your appearance
,make sure patient is comfortable and environment is conducive to private info being shared
what happens during the gathering information stage - ANS -initiate information gathering
history of present illness
past medical history
social history
explore patients perspective of disease and relevant background information
what happens during explaining and planning - ANS -provide correct amount and type of
information
negotiate plan of action
shared decision making
when asking patient about there pronouns it may be helpful to.... - ANS -share your own
pronouns
"in an effort to promote an inclusive and respectful environment, we use pronouns that are right
for us. The pronouns I prefer are......how about you what pronouns do you prefer?
the initial moments of your encounter lay the foundation for.... - ANS -your ongoing relationship
how to establish rapport - ANS -introduce yourself, explain your role and how you will be a part
of their care
3 dimensions of cultural humility - ANS -1) Self-awareness
2) Respectful communication
3) Collaborative partnerships
active listening - ANS -Closely listening to what the patient is communicating, connecting on an
emotional state to the patient.
use both verbal and nonverbal skills to encourage pt to expand on their feelings/concerns
Empathetic responses - ANS -capacity to identify with a patient and feel patients pain as your
own and respond in a supportive manner
"That must have been difficult for you."
"I understand, you're worried."
Non-verbal: offering a tissue to a crying patient; reaching out and gently touching a patient's
hand.
Therapeutic use of self: "I've had surgery before, so I can relate to what you're going through."
guided questioning - ANS -Helps to continue the patients story, shows sustained interest and
allows clinician to adapt questioning based on patient i.e.:
, -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
guided questioning aka - ANS -adaptive questioning
nonverbal communication - ANS -communication using body movements, gestures, and facial
expressions rather than speech
validation - ANS -affirm validity of patients emotional experience
"Your accident must have been terrifying. Car accidents are always unsettling because they
remind us how vulnerable we are. Perhaps that explains why you still feel upset,"
reassurance - ANS -first step is to identify and acknowledge the patients feelings
Helps pt feel that the problems have been fully understood and are being addressed
partnering - ANS -express commitment to an ongoing relationship
summarization - ANS -giving a summary of pts story to communicate that you have been
listening
transitions - ANS -inform pt when you are changing directions to prepare them for what comes
next
"now id like to ask some more questions about your past health"
empowering the patient - ANS -Empower pt to ask questions, express concerns, and probe
your recommendations
people first language - ANS -seeing individuals as people first and not as being defined by their
disorder/illness
i.e.: person with diabetes not diabetic, person with substance abuse not drug user
informed consent required elements - ANS -discuss nature of procedure or treatment
risks and benefits of the procedure or treatment
reasonable alternatives
risks and benefits of alternatives
assessment of the patients understanding go the first four elements
