NR509 Bates Interactive
Chapters 1-17 Exam Question
With Verified Answers 100%
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A 29-year-old female professional athlete presents to a new primary care provider with chronic
menstrual complaints. She remarks to the nursing staff that, in the past, she has experienced a
dismissal of her complaints because of 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 particular
concerns. Which of the following is the description of the patient-centered care this individual
seeks? - correct answer Validating and empathetic with open-ended questions
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? - correct answer Recognizing the patient's emotions by asking or confirming how she
feels about the event
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 feels
that the focus must be redirected to this potentially emergent condition. Which of the following
interview techniques is the most appropriate to effectively manage this visit? - correct answer
Moving from open-ended to focused questions
,A 59-year-old patient presents to his primary care provider with a history of several episodes of
sharp epigastric pain. His father died of pancreatic cancer at age 52 years, and the patient
recalls to the clinician that, "His pain was just like 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?
- correct answer Echoing
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 to successfully 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 be helpful in cementing the patient's trust in the new provider - correct answer "That
sounds like a frightening experience that you are recovering well from."
A 54-year-old diplomat working at the United Nations reports occasional chest pain and a sense
of tightness in his chest when particularly stressed over work deadlines. The patient is 6 feet 4
inches tall. He has a temperature of 98.6ºF and blood pressure of 140/78. He has a cut over one
eye that he says is "from shaving." Which of the following represents subjective information
about this patient? - correct answer Cut over eye from shaving
A 32-year-old office worker reports excessive stress at work and pain in the right lower
quadrant. She states that last night she vomited twice. Her blood pressure is 120/75, heart rate
93 bpm. The patient looks pale and is sweating lightly. Which of the following is an objective
finding? - correct answer Accelerated heart rate
A 29-year-old electrician complains of persistent cough and wheezing, particularly when he
exercises. He says he smokes "occasionally" but rarely so much that he needs to purchase
cigarettes: "Mostly, I bum them," he says, chuckling. Upon hearing this information, what is the
, best next step on the part of the clinician? - correct answer Determine the number of pack-
years the patient smokes.
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin dryness, night
sweats, and irregular menstrual periods. It is the PA's first contact with this patient. The patient
notes that "My sex life has really gone downhill lately" and says that she is considering divorcing
her husband of 20 years, stating that "He's not a bad guy. I just think that I can do better." In
which of the following ways should the clinician proceed? - correct answer Obtain a menstrual
history for the previous 6 months.
A 26-year-old homeless male presents for a new-patient evaluation at a community health
center. He has a history of intravenous drug use, from which he contracted hepatitis C. He also
suffers from uncontrolled asthma that he has had since childhood, with treatment including
frequent doses of oral steroids when he cannot keep inhalers in his possession. Two years ago,
he was diagnosed with bipolar disorder. On today's visit, his main concern is a small abscess in
his right antecubital fossa at a heroin injection site. Which of the following is the best approach
to the health history for this patient at his first visit? - correct answer A comprehensive health
history
One important examination technique involves using the third fingers of each hand to
determine the health of internal organs. What is the name of this technique? - correct answer
Percussion
A 59-year-old unemployed man complains of almost always feeling tired and hungry, despite
getting sufficient rest and having a good appetite and access to sufficient food. The patient is
obese and, despite the warm weather outside, wearing thermal socks with his sandals. He says
this is because his feet are always cold and "feel funny." With which body system should the
clinician begin the examination? - correct answer Head and neck
A 65-year-old retired pilot visits the clinic because of recurrent headache. The patient reports
dizziness of recent onset (previous 2 weeks) and occasional numbness on the left side. Which of
the following systems or regions should be examined in the clinician's focused assessment? -
correct answer Nervous
Chapters 1-17 Exam Question
With Verified Answers 100%
Guaranteed Pass
A 29-year-old female professional athlete presents to a new primary care provider with chronic
menstrual complaints. She remarks to the nursing staff that, in the past, she has experienced a
dismissal of her complaints because of 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 particular
concerns. Which of the following is the description of the patient-centered care this individual
seeks? - correct answer Validating and empathetic with open-ended questions
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? - correct answer Recognizing the patient's emotions by asking or confirming how she
feels about the event
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 feels
that the focus must be redirected to this potentially emergent condition. Which of the following
interview techniques is the most appropriate to effectively manage this visit? - correct answer
Moving from open-ended to focused questions
,A 59-year-old patient presents to his primary care provider with a history of several episodes of
sharp epigastric pain. His father died of pancreatic cancer at age 52 years, and the patient
recalls to the clinician that, "His pain was just like 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?
- correct answer Echoing
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 to successfully 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 be helpful in cementing the patient's trust in the new provider - correct answer "That
sounds like a frightening experience that you are recovering well from."
A 54-year-old diplomat working at the United Nations reports occasional chest pain and a sense
of tightness in his chest when particularly stressed over work deadlines. The patient is 6 feet 4
inches tall. He has a temperature of 98.6ºF and blood pressure of 140/78. He has a cut over one
eye that he says is "from shaving." Which of the following represents subjective information
about this patient? - correct answer Cut over eye from shaving
A 32-year-old office worker reports excessive stress at work and pain in the right lower
quadrant. She states that last night she vomited twice. Her blood pressure is 120/75, heart rate
93 bpm. The patient looks pale and is sweating lightly. Which of the following is an objective
finding? - correct answer Accelerated heart rate
A 29-year-old electrician complains of persistent cough and wheezing, particularly when he
exercises. He says he smokes "occasionally" but rarely so much that he needs to purchase
cigarettes: "Mostly, I bum them," he says, chuckling. Upon hearing this information, what is the
, best next step on the part of the clinician? - correct answer Determine the number of pack-
years the patient smokes.
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin dryness, night
sweats, and irregular menstrual periods. It is the PA's first contact with this patient. The patient
notes that "My sex life has really gone downhill lately" and says that she is considering divorcing
her husband of 20 years, stating that "He's not a bad guy. I just think that I can do better." In
which of the following ways should the clinician proceed? - correct answer Obtain a menstrual
history for the previous 6 months.
A 26-year-old homeless male presents for a new-patient evaluation at a community health
center. He has a history of intravenous drug use, from which he contracted hepatitis C. He also
suffers from uncontrolled asthma that he has had since childhood, with treatment including
frequent doses of oral steroids when he cannot keep inhalers in his possession. Two years ago,
he was diagnosed with bipolar disorder. On today's visit, his main concern is a small abscess in
his right antecubital fossa at a heroin injection site. Which of the following is the best approach
to the health history for this patient at his first visit? - correct answer A comprehensive health
history
One important examination technique involves using the third fingers of each hand to
determine the health of internal organs. What is the name of this technique? - correct answer
Percussion
A 59-year-old unemployed man complains of almost always feeling tired and hungry, despite
getting sufficient rest and having a good appetite and access to sufficient food. The patient is
obese and, despite the warm weather outside, wearing thermal socks with his sandals. He says
this is because his feet are always cold and "feel funny." With which body system should the
clinician begin the examination? - correct answer Head and neck
A 65-year-old retired pilot visits the clinic because of recurrent headache. The patient reports
dizziness of recent onset (previous 2 weeks) and occasional numbness on the left side. Which of
the following systems or regions should be examined in the clinician's focused assessment? -
correct answer Nervous
