@LECTJULIESOLUTIONSSTUVIA
NR 509 / NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS - CHAMBERLAIN
Consist of 100 multiple choices Questions with Answers
1. A 39-year-old nurse who is a well-established patient complains of irregular
menstrual periods and pelvic pain. She says that she is having trouble sleep-ing 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 caringfor 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
ANS: c. Obtain a more complete descriptionof problems.
2. A 29-year-old female professional athlete presents to a new primary care provider
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with chronic menstrual complaints. She remarks to the nursing staffthat, in the past,
she has experienced a dismissal of her complaints becauseof 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 particularconcerns. 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
ANS: b. Validating and empathetic withopen-ended questions
3. 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 betterin the last month than she had in
the previous years. She endorses a healthysupport system, including the extended
family of her deceased spouse, withwhom she is still close. She becomes wistful and
briefly tearful when speakingof the plans that they had when they first married that
were never fulfilled; shethen 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 expressingthe same
feeling on behalf of the patient
b. Recognizing the patient's emotions by asking or confirming how she feelsabout the
, @LECTJULIESOLUTIONSSTUVIA
event
c. By allowing the crying patient to look around the room for tissues to permither an
excuse to hide her face and defer her emotions
d. Presuming that the patient's emotions meet social expectations, such as being
depressed and even trau
ANS: b. Recognizing the patient's emotions by askingor confirming how she feels about
the event
4. A 63-year-old male presents to establish care at a new primary care clinic to
discuss issues with pain and fatigue. The clinician conducting the visit begins with
general historical questions but quickly becomes suspicious that
the patient is suffering from decompensated heart failure. When the patient mentions
that he has had vague chest pain since last night, the clinician feelsthat the focus must
be redirected to this potentially emergent condition. Whichof the following interview
techniques is the most appropriate to effectively manage this visit?
a. Providing serial reassurances such as, "Don't worry, you're going to befine."
b. Asking a series of negative questions such as, "You don't have any swellingin your
feet, do you?"
c. Nonverbally cuing the patient to focus on his narrative regarding a motorvehicle
accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the presumed diagnosis of chestpain
f. Moving from open-ended to focused questions: f. Moving from open-ended tofocused
questions
, @LECTJULIESOLUTIONSSTUVIA
5. A 59-year-old patient presents to his primary care provider with a history ofseveral
episodes of sharp epigastric pain. His father died of pancreatic cancerat age 52 years,
and the patient recalls to the clinician that, "His pain was justlike mine is now ..." The
patient then pauses several seconds. The clinician replies, "Just like?" after which
the patient restarts his narrative. Which of the following is an example of the
interviewing techniques employed by the clinician?
a. Clarifying
b. Echoing
c. Encouraging with continuers
d. d. Eliciting a graded response
e. Asking a leading question
ANS: b. Echoing
6. A 14-year-old male presents to a new primary care provider after his family
relocates to a state. The patient underwent treatment for sarcoma when he was age
11 years, including an above-the-knee amputation. He has learned tosuccessfully
navigate with a prosthetic leg and even engage in competitive athletics at school. He
does not like to speak of his experience with cancer and often makes up humorous
stories to tell new acquaintances about his amputation (such as, "I got bit by a
squirrel and they had to amputate."). Although he is very well engaged in most of the
visit with the new clinician, when the topic of cancer arises, he demurs to his father,
who accompanies him to this appointment. Which of the following statements is most
likely to
NR 509 / NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS - CHAMBERLAIN
Consist of 100 multiple choices Questions with Answers
1. A 39-year-old nurse who is a well-established patient complains of irregular
menstrual periods and pelvic pain. She says that she is having trouble sleep-ing 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 caringfor 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
ANS: c. Obtain a more complete descriptionof problems.
2. A 29-year-old female professional athlete presents to a new primary care provider
, @LECTJULIESOLUTIONSSTUVIA
with chronic menstrual complaints. She remarks to the nursing staffthat, in the past,
she has experienced a dismissal of her complaints becauseof 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 particularconcerns. 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
ANS: b. Validating and empathetic withopen-ended questions
3. 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 betterin the last month than she had in
the previous years. She endorses a healthysupport system, including the extended
family of her deceased spouse, withwhom she is still close. She becomes wistful and
briefly tearful when speakingof the plans that they had when they first married that
were never fulfilled; shethen 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 expressingthe same
feeling on behalf of the patient
b. Recognizing the patient's emotions by asking or confirming how she feelsabout the
, @LECTJULIESOLUTIONSSTUVIA
event
c. By allowing the crying patient to look around the room for tissues to permither an
excuse to hide her face and defer her emotions
d. Presuming that the patient's emotions meet social expectations, such as being
depressed and even trau
ANS: b. Recognizing the patient's emotions by askingor confirming how she feels about
the event
4. A 63-year-old male presents to establish care at a new primary care clinic to
discuss issues with pain and fatigue. The clinician conducting the visit begins with
general historical questions but quickly becomes suspicious that
the patient is suffering from decompensated heart failure. When the patient mentions
that he has had vague chest pain since last night, the clinician feelsthat the focus must
be redirected to this potentially emergent condition. Whichof the following interview
techniques is the most appropriate to effectively manage this visit?
a. Providing serial reassurances such as, "Don't worry, you're going to befine."
b. Asking a series of negative questions such as, "You don't have any swellingin your
feet, do you?"
c. Nonverbally cuing the patient to focus on his narrative regarding a motorvehicle
accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the presumed diagnosis of chestpain
f. Moving from open-ended to focused questions: f. Moving from open-ended tofocused
questions
, @LECTJULIESOLUTIONSSTUVIA
5. A 59-year-old patient presents to his primary care provider with a history ofseveral
episodes of sharp epigastric pain. His father died of pancreatic cancerat age 52 years,
and the patient recalls to the clinician that, "His pain was justlike mine is now ..." The
patient then pauses several seconds. The clinician replies, "Just like?" after which
the patient restarts his narrative. Which of the following is an example of the
interviewing techniques employed by the clinician?
a. Clarifying
b. Echoing
c. Encouraging with continuers
d. d. Eliciting a graded response
e. Asking a leading question
ANS: b. Echoing
6. A 14-year-old male presents to a new primary care provider after his family
relocates to a state. The patient underwent treatment for sarcoma when he was age
11 years, including an above-the-knee amputation. He has learned tosuccessfully
navigate with a prosthetic leg and even engage in competitive athletics at school. He
does not like to speak of his experience with cancer and often makes up humorous
stories to tell new acquaintances about his amputation (such as, "I got bit by a
squirrel and they had to amputate."). Although he is very well engaged in most of the
visit with the new clinician, when the topic of cancer arises, he demurs to his father,
who accompanies him to this appointment. Which of the following statements is most
likely to
