NR509 Final Exam Questions & Answers LATEST UPDATED
a. Adjust lighting so it is tangential to the patient's body.
. A 23-year-old physician
b. Explain how the examination will proceed.
assistant (PA) student
found that she felt nervous c. Ask the patient where he comes from.
when called upon to
examine men in her age d. Explain that she is a PA student.
group. On one occasion,
she encountered a young e. Provide ongoing interpretation of findings.
male patient who
b. Explain how the examination will proceed.
appeared embarrassed to
see her walk into the room.
What should the PA do to
minimize their mutual
discomfort?
. A 34-year-old male with a. Focusing on the need for immediate diagnostic
a history of complex certainty over personal connection
social and medical needs
(including current b. Taking charge of the interaction to meet the clinician's
substance abuse) presents desire to acquire diagnostic information
to a primary care teaching
clinic. The patient has c. Following the patient's lead to understand their
experienced a number of thoughts, ideas, concerns, and requests
adversarial relationships
with prior clinicians, d. Deferring respect, em
including voluntarily leaving
c. Following the patient's lead to understand their
two practices within the
thoughts, ideas, concerns, and requests
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 17-year-old male a. Ignoring visual cues to focus on the patient's exact words
presents to a sexually b. Setting aside the patient's emotional state to focus on his
medical needs
transmitted disease clinic
c. Paring down the patient's concerns to concrete medical needs
at the behest of his
d. Using nonverbal communication to encourage
brother, who convinced
the patient to expand their narrative
the patient to attend the
e. Considering a differential diagnosis while the patient
clinic after he disclosed that
is speaking to maximize the patient's time with the
he prefers homosexual
provider
partners but is afraid that
his last partner may have
d. Using nonverbal communication to encourage the
given him an infection. The
patient to expand their narrative
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 42-year-old female a. Focus, intensity, function, and evaluation
mathematician presents b. Facts, intensity, focus, and evidence
for follow-up care c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and emotion
regarding a new diagnosis
e. Facts, intelligence, fortuity, and eventuality
of systemic lupus
erythematosus 6 months
c. Feelings, ideas, function, and expectations
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?
1. A 39-year-old nurse who a. Perform a pelvic examination.
is a well- established b. Obtain a urine sample for testing.
patient complains of c. Obtain a more complete description of problems.
d. Obtain blood for testing.
irregular menstrual
e. Ask about recent travel destinations.
periods and pelvic pain.
She says that she is having
c. Obtain a more complete description of problems.
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. Adjust lighting so it is tangential to the patient's body.
. A 23-year-old physician
b. Explain how the examination will proceed.
assistant (PA) student
found that she felt nervous c. Ask the patient where he comes from.
when called upon to
examine men in her age d. Explain that she is a PA student.
group. On one occasion,
she encountered a young e. Provide ongoing interpretation of findings.
male patient who
b. Explain how the examination will proceed.
appeared embarrassed to
see her walk into the room.
What should the PA do to
minimize their mutual
discomfort?
. A 34-year-old male with a. Focusing on the need for immediate diagnostic
a history of complex certainty over personal connection
social and medical needs
(including current b. Taking charge of the interaction to meet the clinician's
substance abuse) presents desire to acquire diagnostic information
to a primary care teaching
clinic. The patient has c. Following the patient's lead to understand their
experienced a number of thoughts, ideas, concerns, and requests
adversarial relationships
with prior clinicians, d. Deferring respect, em
including voluntarily leaving
c. Following the patient's lead to understand their
two practices within the
thoughts, ideas, concerns, and requests
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 17-year-old male a. Ignoring visual cues to focus on the patient's exact words
presents to a sexually b. Setting aside the patient's emotional state to focus on his
medical needs
transmitted disease clinic
c. Paring down the patient's concerns to concrete medical needs
at the behest of his
d. Using nonverbal communication to encourage
brother, who convinced
the patient to expand their narrative
the patient to attend the
e. Considering a differential diagnosis while the patient
clinic after he disclosed that
is speaking to maximize the patient's time with the
he prefers homosexual
provider
partners but is afraid that
his last partner may have
d. Using nonverbal communication to encourage the
given him an infection. The
patient to expand their narrative
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 42-year-old female a. Focus, intensity, function, and evaluation
mathematician presents b. Facts, intensity, focus, and evidence
for follow-up care c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and emotion
regarding a new diagnosis
e. Facts, intelligence, fortuity, and eventuality
of systemic lupus
erythematosus 6 months
c. Feelings, ideas, function, and expectations
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?
1. A 39-year-old nurse who a. Perform a pelvic examination.
is a well- established b. Obtain a urine sample for testing.
patient complains of c. Obtain a more complete description of problems.
d. Obtain blood for testing.
irregular menstrual
e. Ask about recent travel destinations.
periods and pelvic pain.
She says that she is having
c. Obtain a more complete description of problems.
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?
