NR 509 Midterm Exam Advanced
Physical Assessment Questions and
Answers - Chamberlain
1. 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.: b. Explain how the examination will
proceed.
2. 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: d. Using nonverbal communication to encourage the
patient to expand their narrative
3. 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
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,: c. Following the patient's lead to understand their
thoughts, ideas, concerns, and requests
4. 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: b. Recognizing
the patient's emotions by asking or confirming how she feels about the event
5. A 19-year-old student of art history presents to clinic after a
syncopal (fainting) episode at school. He is notably thin; on a
thorough review of his medical history, he admits that he eats only
minimally to maintain a very low body weight that he feels is ideal.
He is embarrassed that his issues were discussed by peers after this
episode, especially because he believes that this is a problem that is
only faced by girls and women. Concerning the two most common
eating disorders (anorexia nervosa and bulimia nervosa), which of
the following statements is true?
a. Men and women are both afflicted, but with a female:male
prevalence ratio estimated at ~2:1.
b. Both of these eating disorders are associated with a body mass
index (BMI) of <17.5.
c. Both of these eating disorders are associated with a real or
imagined fear of appearing fat.
d. Persons with eating disorders are generally easily identified by their
appeara-
: c. Both of these eating disorders are associated with a real or imagined fear of appearing fat.
Physical Assessment Questions and
Answers - Chamberlain
1. 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.: b. Explain how the examination will
proceed.
2. 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: d. Using nonverbal communication to encourage the
patient to expand their narrative
3. 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
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,: c. Following the patient's lead to understand their
thoughts, ideas, concerns, and requests
4. 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: b. Recognizing
the patient's emotions by asking or confirming how she feels about the event
5. A 19-year-old student of art history presents to clinic after a
syncopal (fainting) episode at school. He is notably thin; on a
thorough review of his medical history, he admits that he eats only
minimally to maintain a very low body weight that he feels is ideal.
He is embarrassed that his issues were discussed by peers after this
episode, especially because he believes that this is a problem that is
only faced by girls and women. Concerning the two most common
eating disorders (anorexia nervosa and bulimia nervosa), which of
the following statements is true?
a. Men and women are both afflicted, but with a female:male
prevalence ratio estimated at ~2:1.
b. Both of these eating disorders are associated with a body mass
index (BMI) of <17.5.
c. Both of these eating disorders are associated with a real or
imagined fear of appearing fat.
d. Persons with eating disorders are generally easily identified by their
appeara-
: c. Both of these eating disorders are associated with a real or imagined fear of appearing fat.
