NR 509 Mid-Term Study | Latest Questions With Correct
Answers|Guranteed To Pass 2025
Chapter 1 ...
2. 1. A 23-year-old physician assistant a. Adjust lighting so it is tangential to the patient's
(PA) student found that she felt body.
nervous when called upon to ex- b. Explain how the examination will proceed.
amine men in her age group. On c. Ask the patient where he comes from.
one occasion, she encountered a d. Explain that she is a PA student.
young male patient who appeared e. Provide ongoing interpretation of findings.
embarrassed to see her walk into
the room. What should the PA do to
minimize their mutual discomfort?
3. A 34-year-old male with a histo a. Focusing on the need for immediate diagnostic cer-
ry of complex social and med tainty over personal connection
ical needs (including current b. Taking charge of the interaction to meet the clini-
substance abuse) presents to a cian's desire to acquire diagnostic information
primary care teaching clinic. The c. Following the patient's lead to understand their
patient has experienced a thoughts, ideas, concerns, and requests
number of adversarial d. Deferring respect, empathy, humility, and sensitivity
relationships with prior clinicians, in favor of the acquisition of concrete details about the
including voluntarily leaving two patient's condition
practices within the previous year e. Taking a symptom-focused approach to reduce the
and being asked to leave care at a involvement of the patient's emotional difficulties
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?
,4. A 17-year-old male presents to a a. Ignoring visual cues to focus on the patient's exact
sexually transmitted disease clin- words
ic at the behest of his brother, b. Setting aside the patient's emotional state to focus
who convinced the patient to at- on his medical needs
tend the clinic after he disclosed c. Paring down the patient's concerns to concrete med-
that he prefers homosexual part- ical needs
ners but is afraid that his last part- d. Using nonverbal communication to encourage the
ner may have given him an infec- patient to expand their narrative
tion. The patient expresses to the e. Considering a differential diagnosis while the patient
intake nurse that he is unashamed is speaking to maximize the patient's time with the
of his sexual orientation and will provider
not stay through the visit if he
feels that he is dismissed or dis-
criminated 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 crit-
ical juncture in his care with the
clinic. Which of the following is an
example of an active listening tech-
nique?
5. A 42-year-old female mathemati- a. Focus, intensity, function, and evaluation
cian presents for follow-up care b. Facts, intensity, focus, and evidence
regarding a new diagnosis of c. Feelings, ideas, function, and expectations
systemic lupus erythematosus 6 d. Feelings, impression, fantasy, and emotion
months ago after a lengthy diag- e. Facts, intelligence, fortuity, and eventuality
nostic 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 expla-
nation for her lack of adherence to
the prescribed treatment, she sim-
ply says, "I don't like it." At this ini-
tial visit with her third rheumatol-
ogy provider, the clinician elects to
explore the issues behind her non-
compliance before engaging in di-
agnostics and treatment using the
FIFE model. Which of the following
best defines the elements of the
FIFE model?
6.
7. A 39-year-old nurse who is a a. Perform a pelvic examination.
wellestablished patient complains b. Obtain a urine sample for testing.
of irregular menstrual periods and c. Obtain a more complete description of problems.
pelvic pain. She says that she is d. Obtain blood for testing.
having trouble sleeping and asks e. Ask about recent travel destinations.
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?
8. A 29-year-old female professional a. Structured and clinician-centered with open-ended
athlete presents to a new primary questions
care provider with chronic men b. Validating and empathetic with open-ended ques-
, NR 509 Mid-Term Study Questions
strual complaints. She remarks to tions
the nursing staff that, in the past, c. Dismissive and concrete with open-ended ques-
she has experienced a dismissal tions
of her complaints because of her d. Affirming and reassuring with close-ended ques-
high level of physical fitness and tions
conditioning. She is seeking a care e. Factual and structured with active listening
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 individ-
ual seeks?
9. A 36-year-old female air traffic con- a. Assuming that the event caused her to become de-
troller presents to her primary pressed and expressing the same feeling on behalf of
care provider for a routine visit 3 the patient
months after losing her spouse to b. Recognizing the patient's emotions by asking or con-
a lengthy battle with a neurode- firming how she feels about the event
generative disease. The patient de- c. By allowing the crying patient to look around the
nies any psychiatric symptoms on room for tissues to permit her an excuse to hide her
review of systems and, in fact, face and defer her emotions
states that she has slept better in d. Presuming that the patient's emotions meet social
the last month than she had in expectations, such as being depressed and even trau-
the previous years. She endorses matized by her spouse's death
a healthy support system, includ- e. Narrowing the understanding of the patient's emo-
ing the extended family of her de- tional response to only thoughts and feelings that have
ceased spouse, with whom she is been verbalized
still close. She becomes wistful and
briefly tearful when speaking of
the plans that they had when they
first married that were never ful-
filled; she then changes the subject
Answers|Guranteed To Pass 2025
Chapter 1 ...
2. 1. A 23-year-old physician assistant a. Adjust lighting so it is tangential to the patient's
(PA) student found that she felt body.
nervous when called upon to ex- b. Explain how the examination will proceed.
amine men in her age group. On c. Ask the patient where he comes from.
one occasion, she encountered a d. Explain that she is a PA student.
young male patient who appeared e. Provide ongoing interpretation of findings.
embarrassed to see her walk into
the room. What should the PA do to
minimize their mutual discomfort?
3. A 34-year-old male with a histo a. Focusing on the need for immediate diagnostic cer-
ry of complex social and med tainty over personal connection
ical needs (including current b. Taking charge of the interaction to meet the clini-
substance abuse) presents to a cian's desire to acquire diagnostic information
primary care teaching clinic. The c. Following the patient's lead to understand their
patient has experienced a thoughts, ideas, concerns, and requests
number of adversarial d. Deferring respect, empathy, humility, and sensitivity
relationships with prior clinicians, in favor of the acquisition of concrete details about the
including voluntarily leaving two patient's condition
practices within the previous year e. Taking a symptom-focused approach to reduce the
and being asked to leave care at a involvement of the patient's emotional difficulties
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?
,4. A 17-year-old male presents to a a. Ignoring visual cues to focus on the patient's exact
sexually transmitted disease clin- words
ic at the behest of his brother, b. Setting aside the patient's emotional state to focus
who convinced the patient to at- on his medical needs
tend the clinic after he disclosed c. Paring down the patient's concerns to concrete med-
that he prefers homosexual part- ical needs
ners but is afraid that his last part- d. Using nonverbal communication to encourage the
ner may have given him an infec- patient to expand their narrative
tion. The patient expresses to the e. Considering a differential diagnosis while the patient
intake nurse that he is unashamed is speaking to maximize the patient's time with the
of his sexual orientation and will provider
not stay through the visit if he
feels that he is dismissed or dis-
criminated 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 crit-
ical juncture in his care with the
clinic. Which of the following is an
example of an active listening tech-
nique?
5. A 42-year-old female mathemati- a. Focus, intensity, function, and evaluation
cian presents for follow-up care b. Facts, intensity, focus, and evidence
regarding a new diagnosis of c. Feelings, ideas, function, and expectations
systemic lupus erythematosus 6 d. Feelings, impression, fantasy, and emotion
months ago after a lengthy diag- e. Facts, intelligence, fortuity, and eventuality
nostic 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 expla-
nation for her lack of adherence to
the prescribed treatment, she sim-
ply says, "I don't like it." At this ini-
tial visit with her third rheumatol-
ogy provider, the clinician elects to
explore the issues behind her non-
compliance before engaging in di-
agnostics and treatment using the
FIFE model. Which of the following
best defines the elements of the
FIFE model?
6.
7. A 39-year-old nurse who is a a. Perform a pelvic examination.
wellestablished patient complains b. Obtain a urine sample for testing.
of irregular menstrual periods and c. Obtain a more complete description of problems.
pelvic pain. She says that she is d. Obtain blood for testing.
having trouble sleeping and asks e. Ask about recent travel destinations.
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?
8. A 29-year-old female professional a. Structured and clinician-centered with open-ended
athlete presents to a new primary questions
care provider with chronic men b. Validating and empathetic with open-ended ques-
, NR 509 Mid-Term Study Questions
strual complaints. She remarks to tions
the nursing staff that, in the past, c. Dismissive and concrete with open-ended ques-
she has experienced a dismissal tions
of her complaints because of her d. Affirming and reassuring with close-ended ques-
high level of physical fitness and tions
conditioning. She is seeking a care e. Factual and structured with active listening
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 individ-
ual seeks?
9. A 36-year-old female air traffic con- a. Assuming that the event caused her to become de-
troller presents to her primary pressed and expressing the same feeling on behalf of
care provider for a routine visit 3 the patient
months after losing her spouse to b. Recognizing the patient's emotions by asking or con-
a lengthy battle with a neurode- firming how she feels about the event
generative disease. The patient de- c. By allowing the crying patient to look around the
nies any psychiatric symptoms on room for tissues to permit her an excuse to hide her
review of systems and, in fact, face and defer her emotions
states that she has slept better in d. Presuming that the patient's emotions meet social
the last month than she had in expectations, such as being depressed and even trau-
the previous years. She endorses matized by her spouse's death
a healthy support system, includ- e. Narrowing the understanding of the patient's emo-
ing the extended family of her de- tional response to only thoughts and feelings that have
ceased spouse, with whom she is been verbalized
still close. She becomes wistful and
briefly tearful when speaking of
the plans that they had when they
first married that were never ful-
filled; she then changes the subject
