NR509 2024-2025 UPDATE/NR509 / NR 509
MIDTERM EXAM (LATEST ):
ADVANCED PHYSICAL ASSESSMENT –
CHAMBERLAIN /GET IT 100%
ACCURATE! /GRADED A+ EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
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?
Focusing on the need for immediate diagnostic certainty over personal connection
Taking charge of the interaction to meet the clinician's desire to acquire diagnostic
information
Following the patient's lead to understand their thoughts, ideas, concerns, and requests
Deferring respect, empathy, - CORRECT-ANSWERSc. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests
, 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 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?
Assuming that the event caused her to become depressed and expressing the same feeling
on behalf of the patient
Recognizing the patient's emotions by asking or con - CORRECT-ANSWERSb.
Recognizing the patient's emotions by asking or confirming how she feels about the event
A 19-year-old student of art history presents to clinic after a syncopal (fainting) episode
at school. He is notably thin; on a thorough review of his medical history, he admits that
he eats only minimally to maintain a very low body weight that he feels is ideal. He is
embarrassed that his issues were discussed by peers after this episode, especially because
he believes that this is a problem that is only faced by girls and women. Concerning the
two most common eating disorders (anorexia nervosa and bulimia nervosa), which of the
following statements is true?
, Men and women are both afflicted, but with a female:male prevalence ratio estimated at
~2:1.
Both of these eating disorders are associated with a body mass index (BMI) of <17.5.
Both of these eating disorders are associated with a real or imagined fear of appearing fat.
Persons with eating disorders are generally easily identified by their appeara -
CORRECT-ANSWERSc. Both of these eating disorders are associated with a real or
imagined fear of appearing fat.
A 23-year-old physician assistant (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?
Adjust lighting so it is tangential to the patient's body.
Explain how the examination will proceed.
Ask the patient where he comes from.
Explain that she is a PA student.
Provide ongoing interpretation of findings. - CORRECT-ANSWERSb. Explain how the
examination will proceed.
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?
Ignoring visual cues to focus on the patient's exact words
Setting aside the patient's emotional state to focus on his medical needs
Paring down the patient's conce - CORRECT-ANSWERSd. 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?
Focus, intensity, function, and evaluation
Facts, intensity, focus, and evidence
Feelings, ideas, function, and expectations
MIDTERM EXAM (LATEST ):
ADVANCED PHYSICAL ASSESSMENT –
CHAMBERLAIN /GET IT 100%
ACCURATE! /GRADED A+ EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
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?
Focusing on the need for immediate diagnostic certainty over personal connection
Taking charge of the interaction to meet the clinician's desire to acquire diagnostic
information
Following the patient's lead to understand their thoughts, ideas, concerns, and requests
Deferring respect, empathy, - CORRECT-ANSWERSc. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests
, 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 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?
Assuming that the event caused her to become depressed and expressing the same feeling
on behalf of the patient
Recognizing the patient's emotions by asking or con - CORRECT-ANSWERSb.
Recognizing the patient's emotions by asking or confirming how she feels about the event
A 19-year-old student of art history presents to clinic after a syncopal (fainting) episode
at school. He is notably thin; on a thorough review of his medical history, he admits that
he eats only minimally to maintain a very low body weight that he feels is ideal. He is
embarrassed that his issues were discussed by peers after this episode, especially because
he believes that this is a problem that is only faced by girls and women. Concerning the
two most common eating disorders (anorexia nervosa and bulimia nervosa), which of the
following statements is true?
, Men and women are both afflicted, but with a female:male prevalence ratio estimated at
~2:1.
Both of these eating disorders are associated with a body mass index (BMI) of <17.5.
Both of these eating disorders are associated with a real or imagined fear of appearing fat.
Persons with eating disorders are generally easily identified by their appeara -
CORRECT-ANSWERSc. Both of these eating disorders are associated with a real or
imagined fear of appearing fat.
A 23-year-old physician assistant (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?
Adjust lighting so it is tangential to the patient's body.
Explain how the examination will proceed.
Ask the patient where he comes from.
Explain that she is a PA student.
Provide ongoing interpretation of findings. - CORRECT-ANSWERSb. Explain how the
examination will proceed.
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?
Ignoring visual cues to focus on the patient's exact words
Setting aside the patient's emotional state to focus on his medical needs
Paring down the patient's conce - CORRECT-ANSWERSd. 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?
Focus, intensity, function, and evaluation
Facts, intensity, focus, and evidence
Feelings, ideas, function, and expectations
