NR509 Health Assessment
Bates Questions (MIDTERM)
And Verified Answers 100%
guaranteed Pass
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 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, - correct 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. - correct 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
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 - correct 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 c - correct 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?
a. Providing serial reassurances such as, "Don't worry, you're going to be fine."
b. Asking a series of negative questions such as, "You don't have any swelling in your feet, do
you?" c. Nonverbally cuing the patient to focus on his narrative regarding a motor vehicle
accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the - correct answer f. 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?
a. Clarifying
b. Echoing
c. Encouraging with continuers
d. Eliciting a graded response
e. Asking a leading question - correct answer B. 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
a. "That sounds like a frightening experience that you are recovering well from."
b. "You are becom - correct answer a. "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?
a. Temperature of 98.6oF
b. Blood pressure of 140/78
c. Employment at the United Nations
d. Cut over eye from shaving
e. Height of 6 feet 4 inches - correct answer d. 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?
a. Pain in the right lower quadrant
b. History of vomiting
Bates Questions (MIDTERM)
And Verified Answers 100%
guaranteed Pass
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 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, - correct 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. - correct 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
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 - correct 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 c - correct 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?
a. Providing serial reassurances such as, "Don't worry, you're going to be fine."
b. Asking a series of negative questions such as, "You don't have any swelling in your feet, do
you?" c. Nonverbally cuing the patient to focus on his narrative regarding a motor vehicle
accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the - correct answer f. 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?
a. Clarifying
b. Echoing
c. Encouraging with continuers
d. Eliciting a graded response
e. Asking a leading question - correct answer B. 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
a. "That sounds like a frightening experience that you are recovering well from."
b. "You are becom - correct answer a. "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?
a. Temperature of 98.6oF
b. Blood pressure of 140/78
c. Employment at the United Nations
d. Cut over eye from shaving
e. Height of 6 feet 4 inches - correct answer d. 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?
a. Pain in the right lower quadrant
b. History of vomiting
