NR509 Advanced Physical Assessment Midterm Exam Study Guide
Exam Format Non-Cumulative
Number of Questions 100
Time Allotted 120 minutes
Testing Timeframe The midterm exam will be available starting on Wednesday of Week 4 at 12:01 am
MT until Saturday of Week 4 at 11:59 pm MT.
Illness Patient's lived experience.
Disease Clinician's biomedical explanation.
Goal of the Encounter Therapeutic partnership with mutual respect, empathy, and clarity.
FIFE Feelings, Ideas, Function, Expectations.
NURSE Name, Understand, Respect, Support, Explore.
Teach-Back Patient repeats plan to confirm understanding.
Shared Decision-Making Options → Explore preferences → Decide together.
5Rs of Cultural Humility Reflection, Respect, Regard, Relevance, Resiliency.
Core Values of Ethics Beneficence, Nonmaleficence, Autonomy, Justice.
Decisional Capacity Understand, Appreciate, Reason, Communicate choice (different from legal
competence).
Active Listening Full attention to patient's words + cues.
, NR509 Advanced Physical Assessment Midterm Exam Study Guide
Guided Questioning Open → focused → closed; continuers ("go on"), echoing, clarifying vague terms.
Empathy Reflect back feelings.
Validation Legitimize concerns.
Patient Education Use plain language; 1-3 key points.
Ask Me Three What is my problem? What do I need to do? Why is it important?
SBAR Situation, Background, Assessment, Recommendation (team communication).
INTERPRET Introduce, Note goals, Transparency, Ethics, Respect, Patient focus, Retain control,
Explain, Thank (working with interpreters).
SPIKES Setting, Perception, Invitation, Knowledge, Emotions, Strategy/Summary (delivering
serious news).
OARS Open-ended questions, Affirmations, Reflections, Summaries (motivational
interviewing).
Informed Consent - 5 Elements Nature of procedure, Risks and benefits, Alternatives, Risks and benefits of
alternatives, Patient understanding (requires decisional capacity).
Angry stay calm, validate, ensure safety.
Confused/cognitively impaired clarify, involve caregiver.
Emotional/tearful allow expression, respond with empathy.
Low literacy use plain language + teach-back.
Discriminatory or flirtatious set professional boundaries.
Exam Format Non-Cumulative
Number of Questions 100
Time Allotted 120 minutes
Testing Timeframe The midterm exam will be available starting on Wednesday of Week 4 at 12:01 am
MT until Saturday of Week 4 at 11:59 pm MT.
Illness Patient's lived experience.
Disease Clinician's biomedical explanation.
Goal of the Encounter Therapeutic partnership with mutual respect, empathy, and clarity.
FIFE Feelings, Ideas, Function, Expectations.
NURSE Name, Understand, Respect, Support, Explore.
Teach-Back Patient repeats plan to confirm understanding.
Shared Decision-Making Options → Explore preferences → Decide together.
5Rs of Cultural Humility Reflection, Respect, Regard, Relevance, Resiliency.
Core Values of Ethics Beneficence, Nonmaleficence, Autonomy, Justice.
Decisional Capacity Understand, Appreciate, Reason, Communicate choice (different from legal
competence).
Active Listening Full attention to patient's words + cues.
, NR509 Advanced Physical Assessment Midterm Exam Study Guide
Guided Questioning Open → focused → closed; continuers ("go on"), echoing, clarifying vague terms.
Empathy Reflect back feelings.
Validation Legitimize concerns.
Patient Education Use plain language; 1-3 key points.
Ask Me Three What is my problem? What do I need to do? Why is it important?
SBAR Situation, Background, Assessment, Recommendation (team communication).
INTERPRET Introduce, Note goals, Transparency, Ethics, Respect, Patient focus, Retain control,
Explain, Thank (working with interpreters).
SPIKES Setting, Perception, Invitation, Knowledge, Emotions, Strategy/Summary (delivering
serious news).
OARS Open-ended questions, Affirmations, Reflections, Summaries (motivational
interviewing).
Informed Consent - 5 Elements Nature of procedure, Risks and benefits, Alternatives, Risks and benefits of
alternatives, Patient understanding (requires decisional capacity).
Angry stay calm, validate, ensure safety.
Confused/cognitively impaired clarify, involve caregiver.
Emotional/tearful allow expression, respond with empathy.
Low literacy use plain language + teach-back.
Discriminatory or flirtatious set professional boundaries.
