NR509 Advanced Physical Assessment
Midterm Exam Week 1-4 Questions and
Answers
1. The interview process: Initiating the
session Gathering information
Physical examination
Explanation and planning
Closing the session
These steps are proving structure and building the relationship
2. interviewing techniques: Nonverbal
communication Empathy
Active
listening
Validation
reassuranc
e
partnering
summarize
Guided questioning
Empowerment
,3. Setting the stage for examination: Explaining point for point what the examination will
entail,
preparing, privacy, awareness of the setting in which the exam is taking place, do not assume it is ok to
have others in the room, being aware of disabilities.
4. Establishing Rapport: Earning trust, following through, showing empathy and compassion,
being knowl-
edgeable of the information provided
5. Gender Pronouns: How a person would like to be referred to. Ex: "She/Her" "He/Him"
"They/Them" etc. How would you describe your sexual identity
How would you describe your gender
identity What is the sex on your original
birth certificate
6. FIFE model: Feelings
Ideas
Functioning
Expectations
Helps explore the patient's perspective about their health and illness
7. Patient-centered medical care: Involving the patient in their care and coming up with a plan
with the provider. Provider must acknowledge their own personal biases while being aware of what is
the safest Sam's most effective plan for the patient
,8. Fundamentals of skilled interviewing: Active listening, empathetic responses, guided
questioning, nonverbal communication, validation, reassurance, partnering, summarization,
transitions, empowering the patient
9. verbal communication: expressing ideas to others by using spoken words
10. nonverbal communication: communication using body movements, gestures, and
facial expressions
rather than speech
11. Challenging Patient Situations and
behaviors: Silent Talkative
With confusing narrative
With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
With hearing loss
With low or impaired vision
With limited intelligence
Burdened by personal
problems Nonadherent
With low literacy
, With low health literacy
With limited language
proficiency With terminal
illness or dying
12. 5 R's off cultural humility: Reflection— what did I learn?
Respect—did I treat everyone involved w
respect? Regard—did unconscious bias drive this
encounter? Relevance—how was cultural
humility relevant?
Resiliency—how did my personal resilience attect this interaction?
13. Core Values of Medical Ethics:
nonmaleficence, beneficence,
respect for
autonomy, decisional
capacity,
confidentiality,
informed
consent, truth
telling, justice
14. Focused Health History: ALL components of the Complete Health History with the focus
on the specific
reason the client is seeking care.
Midterm Exam Week 1-4 Questions and
Answers
1. The interview process: Initiating the
session Gathering information
Physical examination
Explanation and planning
Closing the session
These steps are proving structure and building the relationship
2. interviewing techniques: Nonverbal
communication Empathy
Active
listening
Validation
reassuranc
e
partnering
summarize
Guided questioning
Empowerment
,3. Setting the stage for examination: Explaining point for point what the examination will
entail,
preparing, privacy, awareness of the setting in which the exam is taking place, do not assume it is ok to
have others in the room, being aware of disabilities.
4. Establishing Rapport: Earning trust, following through, showing empathy and compassion,
being knowl-
edgeable of the information provided
5. Gender Pronouns: How a person would like to be referred to. Ex: "She/Her" "He/Him"
"They/Them" etc. How would you describe your sexual identity
How would you describe your gender
identity What is the sex on your original
birth certificate
6. FIFE model: Feelings
Ideas
Functioning
Expectations
Helps explore the patient's perspective about their health and illness
7. Patient-centered medical care: Involving the patient in their care and coming up with a plan
with the provider. Provider must acknowledge their own personal biases while being aware of what is
the safest Sam's most effective plan for the patient
,8. Fundamentals of skilled interviewing: Active listening, empathetic responses, guided
questioning, nonverbal communication, validation, reassurance, partnering, summarization,
transitions, empowering the patient
9. verbal communication: expressing ideas to others by using spoken words
10. nonverbal communication: communication using body movements, gestures, and
facial expressions
rather than speech
11. Challenging Patient Situations and
behaviors: Silent Talkative
With confusing narrative
With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
With hearing loss
With low or impaired vision
With limited intelligence
Burdened by personal
problems Nonadherent
With low literacy
, With low health literacy
With limited language
proficiency With terminal
illness or dying
12. 5 R's off cultural humility: Reflection— what did I learn?
Respect—did I treat everyone involved w
respect? Regard—did unconscious bias drive this
encounter? Relevance—how was cultural
humility relevant?
Resiliency—how did my personal resilience attect this interaction?
13. Core Values of Medical Ethics:
nonmaleficence, beneficence,
respect for
autonomy, decisional
capacity,
confidentiality,
informed
consent, truth
telling, justice
14. Focused Health History: ALL components of the Complete Health History with the focus
on the specific
reason the client is seeking care.
