NR509 Midterm Exam 2025: Advanced Health Assessment Practice Questions & Study Guide

Page 1 of 84


MIDTERM EXAM: NR509 / NR 509 ADVANCED

PHYSICAL ASSESSMENT (LATEST UPDATES

STUDY BUNDLE WITH COMPLETE SOLUTIONS) | 100%

CORRECT | GRADE A - CHAMBERLAIN

is the clinical encounter clinician-centered to patient-centered

.....ANSWER.....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 .....ANSWER.....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

,Page 2 of 84


FIFE model .....ANSWER.....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)

.....ANSWER.....initiate the encounter

gather information

perform the physical examination

explaining and planning

closing the encounter

,Page 3 of 84


2 frameworks that continue throughout whole clinical encounter

.....ANSWER.....relationship building

structuring the interview

what happens while initiating the encounter .....ANSWER.....greet

the patient and set the stage/preparation

what does it mean to set the stage .....ANSWER.....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

.....ANSWER.....initiate information gathering

history of present illness

past medical history

social history

, Page 4 of 84


explore patients perspective of disease and relevant

background information

what happens during explaining and planning

.....ANSWER.....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....

.....ANSWER.....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....

.....ANSWER.....your ongoing relationship