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NR509 MIDTERM EXAM QUESTIONS AND ANSWERS 2025
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NR509 MIDTERM EXAM QUESTIONS AND ANSWERS 2025
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NR509 MIDTERM EXAM QUESTIONSAND ANSWERS 2025
isKtheKclinicalKencounterKclinician-centeredKtoKpatient-centeredK-KcorrectKanswer-
both;KneedsKtoKbeKaKbalanceKofKtheKclinicianKmeetingKtheirKneedsKofKtheKinteractionKandKtheKpatientKfeelin
gKheardKandKcreateKpersonalKdimension
patient-centeredKapproachK-KcorrectKanswer-
InterviewingKtechniqueKempoweringKtheKpatientKtoKprovideKaKcandidKandKcompleteKmedicalKhistory
recognizesKimportanceKofKpatientKconcerns,KfeelingsKandKemotionsKandKunderstandsKtheKpatientsKpersona
lKcontactKofKtheKsymptoms/disease
FIFEKmodelK-KcorrectKanswer-mnemonicKforKpatientsKperspectiveKonKtheKillness
FeelingsK(fearsKandKconcernsKaboutKtheKproblem)
IdeasK(aboutKnatureKandKcauseKofKproblem)
FunctioningK(effectKofKillnessKonKfunction)
Expectations
generalKstructureKofKpatientKencounterK(5Ksteps)K-KcorrectKanswer-initiateKtheKencounter
gatherKinformation
performKtheKphysicalKexamination
explainingKandKplanningK
closingKtheKencounter
2KframeworksKthatKcontinueKthroughoutKwholeKclinicalKencounterK-KcorrectKanswer-relationshipKbuildingK
structuringKtheKinterview
,whatKhappensKwhileKinitiatingKtheKencounterK-KcorrectKanswer-
greetKtheKpatientKandKsetKtheKstage/preparation
whatKdoesKitKmeanKtoKsetKtheKstageK-KcorrectKanswer-prepareKforKtheKinterview
checkKyourKappearance
makeKsureKpatientKisKcomfortableKandKenvironmentKisKconduciveKtoKprivateKinfoKbeingKshared
whatKhappensKduringKtheKgatheringKinformationKstageK-KcorrectKanswer-initiateKinformationKgatheringK
historyKofKpresentKillness
pastKmedicalKhistory
socialKhistory
exploreKpatientsKperspectiveKofKdiseaseKandKrelevantKbackgroundKinformation
whatKhappensKduringKexplainingKandKplanningK-KcorrectKanswer-
provideKcorrectKamountKandKtypeKofKinformation
negotiateKplanKofKactionK
sharedKdecisionKmaking
whenKaskingKpatientKaboutKthereKpronounsKitKmayKbeKhelpfulKto....K-KcorrectKanswer-
shareKyourKownKpronounsK
K
"inKanKeffortKtoKpromoteKanKinclusiveKandKrespectfulKenvironment,KweKuseKpronounsKthatKareKrightKforKus.K
TheKpronounsKIKpreferKare......howKaboutKyouKwhatKpronounsKdoKyouKprefer?
theKinitialKmomentsKofKyourKencounterKlayKtheKfoundationKfor....K-KcorrectKanswer-
yourKongoingKrelationship
howKtoKestablishKrapportK-KcorrectKanswer-
introduceKyourself,KexplainKyourKroleKandKhowKyouKwillKbeKaKpartKofKtheirKcare
3KdimensionsKofKculturalKhumilityK-KcorrectKanswer-1)KSelf-awareness
,2)KRespectfulKcommunication
3)KCollaborativeKpartnerships
activeKlisteningK-KcorrectKanswer-
CloselyKlisteningKtoKwhatKtheKpatientKisKcommunicating,KconnectingKonKanKemotionalKstateKtoKtheKpatient.
useKbothKverbalKandKnonverbalKskillsKtoKencourageKptKtoKexpandKonKtheirKfeelings/concerns
EmpatheticKresponsesK-KcorrectKanswer-
capacityKtoKidentifyKwithKaKpatientKandKfeelKpatientsKpainKasKyourKownKandKrespondKinKaKsupportiveKmanne
rK
"ThatKmustKhaveKbeenKdifficultKforKyou."
"IKunderstand,Kyou'reKworried."
Non-verbal:KofferingKaKtissueKtoKaKcryingKpatient;KreachingKoutKandKgentlyKtouchingKaKpatient'sKhand.K
TherapeuticKuseKofKself:K"I'veKhadKsurgeryKbefore,KsoKIKcanKrelateKtoKwhatKyou'reKgoingKthrough."
guidedKquestioningK-KcorrectKanswer-
HelpsKtoKcontinueKtheKpatientsKstory,KshowsKsustainedKinterestKandKallowsKclinicianKtoKadaptKquestioningKb
asedKonKpatientKi.e.:
-movingKfromKopenKendedKtoKfocusedKquestions
-usingKquestionsKthatKelicitKaKgradedKresponse
-askingKaKseriesKofKquestions,KONEKatKaKtime
-clarifyingKwhatKtheKpatientKmeans
-encouragingKwithKcontinuersK
-usingKechoing
guidedKquestioningKakaK-KcorrectKanswer-adaptiveKquestioning
, nonverbalKcommunicationK-KcorrectKanswer-
communicationKusingKbodyKmovements,Kgestures,KandKfacialKexpressionsKratherKthanKspeech
validationK-KcorrectKanswer-affirmKvalidityKofKpatientsKemotionalKexperienceK
"YourKaccidentKmustKhaveKbeenKterrifying.KCarKaccidentsKareKalwaysKunsettlingKbecauseKtheyKremindKusKho
wKvulnerableKweKare.KPerhapsKthatKexplainsKwhyKyouKstillKfeelKupset,"
reassuranceK-KcorrectKanswer-firstKstepKisKtoKidentifyKandKacknowledgeKtheKpatientsKfeelingsK
HelpsKptKfeelKthatKtheKproblemsKhaveKbeenKfullyKunderstoodKandKareKbeingKaddressed
partneringK-KcorrectKanswer-expressKcommitmentKtoKanKongoingKrelationship
summarizationK-KcorrectKanswer-
givingKaKsummaryKofKptsKstoryKtoKcommunicateKthatKyouKhaveKbeenKlistening
transitionsK-KcorrectKanswer-
informKptKwhenKyouKareKchangingKdirectionsKtoKprepareKthemKforKwhatKcomesKnext
"nowKidKlikeKtoKaskKsomeKmoreKquestionsKaboutKyourKpastKhealth"
empoweringKtheKpatientK-KcorrectKanswer-
EmpowerKptKtoKaskKquestions,KexpressKconcerns,KandKprobeKyourKrecommendations
peopleKfirstKlanguageK-KcorrectKanswer-
seeingKindividualsKasKpeopleKfirstKandKnotKasKbeingKdefinedKbyKtheirKdisorder/illness
i.e.:KpersonKwithKdiabetesKnotKdiabetic,KpersonKwithKsubstanceKabuseKnotKdrugKuser
informedKconsentKrequiredKelementsK-KcorrectKanswer-discussKnatureKofKprocedureKorKtreatment
risksKandKbenefitsKofKtheKprocedureKorKtreatmentK
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