100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NR 509 MIDTERM EXAM|| NR 509 ADVANCED PHYSICAL ASSESSMENT (CHAMBERLAIN) ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND COMPLETE UPDATE WITH VERIFIED SOLUTIONS|| ASSURED PASS!!! $26.49   Add to cart

Exam (elaborations)

NR 509 MIDTERM EXAM|| NR 509 ADVANCED PHYSICAL ASSESSMENT (CHAMBERLAIN) ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND COMPLETE UPDATE WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!

 7 views  0 purchase
  • Course
  • NR 509
  • Institution
  • NR 509

NR 509 MIDTERM EXAM|| NR 509 ADVANCED PHYSICAL ASSESSMENT (CHAMBERLAIN) ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND COMPLETE UPDATE WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!

Preview 4 out of 46  pages

  • October 28, 2024
  • 46
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 509
  • NR 509
avatar-seller
NURSELINCON
1|Pag e


NR 509 MIDTERM EXAM|| NR 509 ADVANCED
PHYSICAL ASSESSMENT (CHAMBERLAIN) ALL
QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND COMPLETE
UPDATE 2024-2025 WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
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?


a. Adjust lighting so it is tangential to the patient's body.
b. Explain how the examination will proceed.
c. Ask the patient where he comes from.
d. Explain that she is a PA student.
e. Provide ongoing interpretation of findings. - ANSWER: b. Explain how the
examination will proceed.


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?


a. Focusing on the need for immediate diagnostic certainty over personal
connection

,2|Pag e


b. Taking charge of the interaction to meet the clinician's desire to acquire
diagnostic information
c. Following the patient's lead to understand their thoughts, ideas, concerns, and
requests
d. Deferring respect, empathy, - ANSWER: c. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests


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?


a. Ignoring visual cues to focus on the patient's exact words
b. Setting aside the patient's emotional state to focus on his medical needs
c. Paring down the patient's conce - ANSWER: d. 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

,3|Pag e


treatment using the FIFE model. Which of the following best defines the elements
of the FIFE model?


a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em - ANSWER: c. Feelings, ideas, function,
and expectations


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 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. 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. - ANSWER: c. Obtain a more complete
description of problems.


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?


a. Structured and clinician-centered with open-ended questions

, 4|Pag e


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 - ANSWER: b. 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?


a. Assuming that the event caused her to become depressed and expressing the
same feeling on behalf of the patient
b. Recognizing the patient's emotions by asking or con - ANSWER: b.
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?

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSELINCON. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $26.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$26.49
  • (0)
  Add to cart