NR509 HEALTH ASSESSMENT BATES
QUESTIONS (MIDTERM)
1. wA w23-year-old wphysician wassistant w(PA) wstudent wfound wthat wshe wfelt
wnervous wwhen wcalled wupon wto wexamine wmen win wher wage wgroup. wOn
wone woccasion, wshe wencountered wa wyoung wmale wpatient wwho wappeared
wembarrassed wto wsee wher wwalk winto wthe wroom. wWhat wshould wthe wPA
wdo wto wminimize wtheir wmutual wdiscomfort?
a. wAdjust wlighting wso wit wis wtangential wto wthe wpatient's wbody.
b. wExplain whow wthe wexamination wwill wproceed.
c. wAsk wthe wpatient wwhere whe wcomes wfrom.
d. wExplain wthat wshe wis wa wPA wstudent.
e. wProvide wongoing winterpretation wof wfindings. w- wans-b. wExplain whow
wthe wexamination wwill wproceed
A w34-year-old wmale wwith wa whistory wof wcomplex wsocial wand wmedical
wneeds w(including wcurrent wsubstance wabuse) wpresents wto wa wprimary
wcare wteaching wclinic. wThe wpatient whas wexperienced wa wnumber wof
wadversarial wrelationships wwith wprior wclinicians, wincluding wvoluntarily
wleaving wtwo wpractices wwithin wthe wprevious wyear wand wbeing wasked wto
wleave wcare wat wa wthird wclinic wdue wto wmisbehavior. wThe wattending
wphysician wdesires wto wutilize wthe wapproaches wto wthis wpatient wthat ware
wmost wlikely wlead wto wcomprehensive wcare wand wpatient wcompliance.
wWhich wof wthe wfollowing wis wthe wmost wappropriate winterview wstyle wfor
wthe wattending wphysician wto wuse?
a. wFocusing won wthe wneed wfor wimmediate wdiagnostic wcertainty wover
wpersonal wconnection
b. wTaking wcharge wof wthe winteraction wto wmeet wthe wclinician's wdesire wto
wacquire wdiagnostic winformation
c. wFollowing wthe wpatient's wlead wto wunderstand wtheir wthoughts, wideas,
wconcerns, wand wrequests
d. wDeferring wrespect, wempat w- wans-c. wFollowing wthe wpatient's wlead wto
wunderstand wtheir wthoughts, wideas, wconcerns, wand wrequests
A w17-year-old wmale wpresents wto wa wsexually wtransmitted wdisease wclinic
wat wthe wbehest wof whis wbrother, wwho wconvinced wthe wpatient wto wattend
wthe wclinic wafter whe wdisclosed wthat whe wprefers whomosexual wpartners
,wbut wis wafraid wthat whis wlast wpartner wmay whave wgiven whim wan
winfection. wThe wpatient wexpresses wto wthe wintake wnurse wthat whe wis
wunashamed wof whis wsexual worientation wand wwill wnot wstay wthrough wthe
wvisit wif whe wfeels wthat whe wis wdismissed wor wdiscriminated wagainst
wbecause wof wit. wThe wnurse wpractitioner wreceives wthis wcommunication
wprior wto wentering wthe wexamination wroom wand wdecides wto wemploy
wactive wlistening wto wbest wconnect wwith wthe wpatient wat wthis wcritical
wjuncture win whis wcare wwith wthe wclinic. wWhich wof wthe wfollowing wis wan
wexample wof wan wactive wlistening wtechnique?
a. wIgnoring wvisual wcues wto wfocus won wthe wpatient's wexact wwords
b. wSetting waside wthe wpatient's wemotional wstate wto wfocus won whis
wmedical wneeds
c. wParing wdown wthe wpatient's w- wans-d. wUsing wnonverbal wcommunication
wto wencourage wthe wpatient wto wexpand wtheir wnarrative
A w42-year-old wfemale wmathematician wpresents wfor wfollow-up wcare
wregarding wa wnew wdiagnosis wof wsystemic wlupus werythematosus w6
wmonths wago wafter wa wlengthy wdiagnostic wprocess wduring wwhich wshe
wwas wdebilitated wwith wfatigue wand wjoint wpain. wSince wher wdiagnosis,
wshe whas wbeen wminimally wcompliant wwith wmedications wand whas
wswitched wher wrheumatology wprovider wtwice. wShe wcontinues wto wfeel will,
wand, win wexplanation wfor wher wlack wof wadherence wto wthe wprescribed
wtreatment, wshe wsimply wsays, w"I wdon't wlike wit." wAt wthis winitial wvisit
wwith wher wthird wrheumatology wprovider, wthe wclinician welects wto wexplore
wthe wissues wbehind wher wnoncompliance wbefore wengaging win wdiagnostics
wand wtreatment wusing wthe wFIFE wmodel. wWhich wof wthe wfollowing wbest
wdefines wthe welements wof wthe wFIFE wmodel?
a. wFocus, wintensity, wfunction, wand wevaluation w
b. wFacts, wintensity, wfocus, wand wevidence
c. wFeelings, wideas, wfunction, wand wexpectations w
d. wFeelings, wimpression, wfantasy, w- wans-c. wFeelings, wideas, wfunction, wand
wexpectations
A w39-year-old wnurse wwho wis wa wwell-established wpatient wcomplains wof
wirregular wmenstrual wperiods wand wpelvic wpain. wShe wsays wthat wshe wis
whaving wtrouble wsleeping wand wasks wwhether wshe wcould wbe wgiven wa
w"sleeping wpill." wThe wpatient walso wsays wshe wis wthinking wof wleaving
wher wjob. wWhat wis wthe wbest w"next wstep" win wcaring wfor wthis wpatient?
a. wPerform wa wpelvic wexamination.
b. wObtain wa wurine wsample wfor wtesting.
c. wObtain wa wmore wcomplete wdescription wof wproblems. w
d. wObtain wblood wfor wtesting.
,e. wAsk wabout wrecent wtravel wdestinations. w- wans-c. wObtain wa wmore
wcomplete wdescription wof wproblems.
A w29-year-old wfemale wprofessional wathlete wpresents wto wa wnew wprimary
wcare wprovider wwith wchronic wmenstrual wcomplaints. wShe wremarks wto wthe
wnursing wstaff wthat, win wthe wpast, wshe whas wexperienced wa wdismissal wof
wher wcomplaints wbecause wof wher whigh wlevel wof wphysical wfitness wand
wconditioning. wShe wis wseeking wa wcare wprovider wwho wwill wexplore wthe
wissue win wmore wdetail wand wwork wwith wher wparticular wconcerns. wWhich
wof wthe wfollowing wis wthe wdescription wof wthe wpatient-centered wcare wthis
windividual wseeks?
a. wStructured wand wclinician-centered wwith wopen-ended wquestions
b. wValidating wand wempathetic wwith wopen-ended wquestions
c. wDismissive wand wconcrete wwith wopen-ended wquestions w
d. wAffirming wand wreassuring wwith wclose-ended wquestions w
e. wFactual wand wstructured wwith wactive wlistening w- wans-b. wValidating wand
wempathetic wwith wopen-ended wquestions
A w36-year-old wfemale wair wtraffic wcontroller wpresents wto wher wprimary
wcare wprovider wfor wa wroutine wvisit w3 wmonths wafter wlosing wher wspouse
wto wa wlengthy wbattle wwith wa wneurodegenerative wdisease. wThe wpatient
wdenies wany wpsychiatric wsymptoms won wreview wof wsystems wand, win
wfact, wstates wthat wshe whas wslept wbetter win wthe wlast wmonth wthan wshe
whad win wthe wprevious wyears. wShe wendorses wa whealthy wsupport wsystem,
wincluding wthe wextended wfamily wof wher wdeceased wspouse, wwith wwhom
wshe wis wstill wclose. wShe wbecomes wwistful wand wbriefly wtearful wwhen
wspeaking wof wthe wplans wthat wthey whad wwhen wthey wfirst wmarried wthat
wwere wnever wfulfilled; wshe wthen wchanges wthe wsubject wrapidly wto
wwhether wher wPap wsmear wis wdue. wWhich wof wthe wfollowing wis wan
wexample wof wan wempathetic wresponse wto wthis wpatient?
a. wAssuming wthat wthe wevent wcaused wher wto wbecome wdepressed wand
wexpressing wthe wsame wfeeling won wbehalf wof wthe wpatient
b. wRecognizing wthe wpatient's wemotions wby wasking wor wc w- wans-b.
wRecognizing wthe wpatient's wemotions wby wasking wor wconfirming whow wshe
wfeels wabout wthe wevent
A w63-year-old wmale wpresents wto westablish wcare wat wa wnew wprimary
wcare wclinic wto wdiscuss wissues wwith wpain wand wfatigue. wThe wclinician
wconducting wthe wvisit wbegins wwith wgeneral whistorical wquestions wbut
wquickly wbecomes wsuspicious wthat wthe wpatient wis wsuffering wfrom
wdecompensated wheart wfailure. wWhen wthe wpatient wmentions wthat whe whas
whad wvague wchest wpain wsince wlast wnight, wthe wclinician wfeels wthat wthe
wfocus wmust wbe wredirected wto wthis wpotentially wemergent wcondition.
, wWhich wof wthe wfollowing winterview wtechniques wis wthe wmost wappropriate
wto weffectively wmanage wthis wvisit?
a. wProviding wserial wreassurances wsuch was, w"Don't wworry, wyou're wgoing
wto wbe wfine."
b. wAsking wa wseries wof wnegative wquestions wsuch was, w"You wdon't whave
wany wswelling win wyour wfeet, wdo wyou?" wc. wNonverbally wcuing wthe
wpatient wto wfocus won whis wnarrative wregarding wa wmotor wvehicle waccident
d. w(MVA) wthat wled wto wback wpain
e. wAsking wleading wquestions wthat wfocus won wthe w- wans-f. wMoving wfrom
wopen-ended wto wfocused wquestions
A w59-year-old wpatient wpresents wto whis wprimary wcare wprovider wwith wa
whistory wof wseveral wepisodes wof wsharp wepigastric wpain. wHis wfather wdied
wof wpancreatic wcancer wat wage w52 wyears, wand wthe wpatient wrecalls wto
wthe wclinician wthat, w"His wpain wwas wjust wlike wmine wis wnow w..." wThe
wpatient wthen wpauses wseveral wseconds. wThe wclinician wreplies, w"Just
wlike?" wafter wwhich wthe wpatient wrestarts whis wnarrative. wWhich wof wthe
wfollowing wis wan wexample wof wthe winterviewing wtechniques wemployed wby
wthe wclinician?
a. wClarifying
b. wEchoing
c. wEncouraging wwith wcontinuers w
d. wEliciting wa wgraded wresponse w
e. wAsking wa wleading wquestion w- wans-B. wEchoing
A w14-year-old wmale wpresents wto wa wnew wprimary wcare wprovider wafter
whis wfamily wrelocates wto wa wstate. wThe wpatient wunderwent wtreatment wfor
wsarcoma wwhen whe wwas wage w11 wyears, wincluding wan wabove-the-knee
wamputation. wHe whas wlearned wto wsuccessfully wnavigate wwith wa
wprosthetic wleg wand weven wengage win wcompetitive wathletics wat wschool.
wHe wdoes wnot wlike wto wspeak wof whis wexperience wwith wcancer wand
woften wmakes wup whumorous wstories wto wtell wnew wacquaintances wabout
whis wamputation w(such was, w"I wgot wbit wby wa wsquirrel wand wthey whad
wto wamputate."). wAlthough whe wis wvery wwell wengaged win wmost wof wthe
wvisit wwith wthe wnew wclinician, wwhen wthe wtopic wof wcancer warises, whe
wdemurs wto whis wfather, wwho waccompanies whim wto wthis wappointment.
wWhich wof wthe wfollowing wstatements wis wmost wlikely wto wbe whelpful win
wcementing wthe wpatient's wtrust win wthe wnew wprovider
a. w"That wsounds wlike wa wfrightening wexperience wthat wyou ware wrecovering
wwell wfrom."
b. w"You ware wbecom w- wans-a. w"That wsounds wlike wa wfrightening
wexperience wthat wyou ware wrecovering wwell wfrom."
QUESTIONS (MIDTERM)
1. wA w23-year-old wphysician wassistant w(PA) wstudent wfound wthat wshe wfelt
wnervous wwhen wcalled wupon wto wexamine wmen win wher wage wgroup. wOn
wone woccasion, wshe wencountered wa wyoung wmale wpatient wwho wappeared
wembarrassed wto wsee wher wwalk winto wthe wroom. wWhat wshould wthe wPA
wdo wto wminimize wtheir wmutual wdiscomfort?
a. wAdjust wlighting wso wit wis wtangential wto wthe wpatient's wbody.
b. wExplain whow wthe wexamination wwill wproceed.
c. wAsk wthe wpatient wwhere whe wcomes wfrom.
d. wExplain wthat wshe wis wa wPA wstudent.
e. wProvide wongoing winterpretation wof wfindings. w- wans-b. wExplain whow
wthe wexamination wwill wproceed
A w34-year-old wmale wwith wa whistory wof wcomplex wsocial wand wmedical
wneeds w(including wcurrent wsubstance wabuse) wpresents wto wa wprimary
wcare wteaching wclinic. wThe wpatient whas wexperienced wa wnumber wof
wadversarial wrelationships wwith wprior wclinicians, wincluding wvoluntarily
wleaving wtwo wpractices wwithin wthe wprevious wyear wand wbeing wasked wto
wleave wcare wat wa wthird wclinic wdue wto wmisbehavior. wThe wattending
wphysician wdesires wto wutilize wthe wapproaches wto wthis wpatient wthat ware
wmost wlikely wlead wto wcomprehensive wcare wand wpatient wcompliance.
wWhich wof wthe wfollowing wis wthe wmost wappropriate winterview wstyle wfor
wthe wattending wphysician wto wuse?
a. wFocusing won wthe wneed wfor wimmediate wdiagnostic wcertainty wover
wpersonal wconnection
b. wTaking wcharge wof wthe winteraction wto wmeet wthe wclinician's wdesire wto
wacquire wdiagnostic winformation
c. wFollowing wthe wpatient's wlead wto wunderstand wtheir wthoughts, wideas,
wconcerns, wand wrequests
d. wDeferring wrespect, wempat w- wans-c. wFollowing wthe wpatient's wlead wto
wunderstand wtheir wthoughts, wideas, wconcerns, wand wrequests
A w17-year-old wmale wpresents wto wa wsexually wtransmitted wdisease wclinic
wat wthe wbehest wof whis wbrother, wwho wconvinced wthe wpatient wto wattend
wthe wclinic wafter whe wdisclosed wthat whe wprefers whomosexual wpartners
,wbut wis wafraid wthat whis wlast wpartner wmay whave wgiven whim wan
winfection. wThe wpatient wexpresses wto wthe wintake wnurse wthat whe wis
wunashamed wof whis wsexual worientation wand wwill wnot wstay wthrough wthe
wvisit wif whe wfeels wthat whe wis wdismissed wor wdiscriminated wagainst
wbecause wof wit. wThe wnurse wpractitioner wreceives wthis wcommunication
wprior wto wentering wthe wexamination wroom wand wdecides wto wemploy
wactive wlistening wto wbest wconnect wwith wthe wpatient wat wthis wcritical
wjuncture win whis wcare wwith wthe wclinic. wWhich wof wthe wfollowing wis wan
wexample wof wan wactive wlistening wtechnique?
a. wIgnoring wvisual wcues wto wfocus won wthe wpatient's wexact wwords
b. wSetting waside wthe wpatient's wemotional wstate wto wfocus won whis
wmedical wneeds
c. wParing wdown wthe wpatient's w- wans-d. wUsing wnonverbal wcommunication
wto wencourage wthe wpatient wto wexpand wtheir wnarrative
A w42-year-old wfemale wmathematician wpresents wfor wfollow-up wcare
wregarding wa wnew wdiagnosis wof wsystemic wlupus werythematosus w6
wmonths wago wafter wa wlengthy wdiagnostic wprocess wduring wwhich wshe
wwas wdebilitated wwith wfatigue wand wjoint wpain. wSince wher wdiagnosis,
wshe whas wbeen wminimally wcompliant wwith wmedications wand whas
wswitched wher wrheumatology wprovider wtwice. wShe wcontinues wto wfeel will,
wand, win wexplanation wfor wher wlack wof wadherence wto wthe wprescribed
wtreatment, wshe wsimply wsays, w"I wdon't wlike wit." wAt wthis winitial wvisit
wwith wher wthird wrheumatology wprovider, wthe wclinician welects wto wexplore
wthe wissues wbehind wher wnoncompliance wbefore wengaging win wdiagnostics
wand wtreatment wusing wthe wFIFE wmodel. wWhich wof wthe wfollowing wbest
wdefines wthe welements wof wthe wFIFE wmodel?
a. wFocus, wintensity, wfunction, wand wevaluation w
b. wFacts, wintensity, wfocus, wand wevidence
c. wFeelings, wideas, wfunction, wand wexpectations w
d. wFeelings, wimpression, wfantasy, w- wans-c. wFeelings, wideas, wfunction, wand
wexpectations
A w39-year-old wnurse wwho wis wa wwell-established wpatient wcomplains wof
wirregular wmenstrual wperiods wand wpelvic wpain. wShe wsays wthat wshe wis
whaving wtrouble wsleeping wand wasks wwhether wshe wcould wbe wgiven wa
w"sleeping wpill." wThe wpatient walso wsays wshe wis wthinking wof wleaving
wher wjob. wWhat wis wthe wbest w"next wstep" win wcaring wfor wthis wpatient?
a. wPerform wa wpelvic wexamination.
b. wObtain wa wurine wsample wfor wtesting.
c. wObtain wa wmore wcomplete wdescription wof wproblems. w
d. wObtain wblood wfor wtesting.
,e. wAsk wabout wrecent wtravel wdestinations. w- wans-c. wObtain wa wmore
wcomplete wdescription wof wproblems.
A w29-year-old wfemale wprofessional wathlete wpresents wto wa wnew wprimary
wcare wprovider wwith wchronic wmenstrual wcomplaints. wShe wremarks wto wthe
wnursing wstaff wthat, win wthe wpast, wshe whas wexperienced wa wdismissal wof
wher wcomplaints wbecause wof wher whigh wlevel wof wphysical wfitness wand
wconditioning. wShe wis wseeking wa wcare wprovider wwho wwill wexplore wthe
wissue win wmore wdetail wand wwork wwith wher wparticular wconcerns. wWhich
wof wthe wfollowing wis wthe wdescription wof wthe wpatient-centered wcare wthis
windividual wseeks?
a. wStructured wand wclinician-centered wwith wopen-ended wquestions
b. wValidating wand wempathetic wwith wopen-ended wquestions
c. wDismissive wand wconcrete wwith wopen-ended wquestions w
d. wAffirming wand wreassuring wwith wclose-ended wquestions w
e. wFactual wand wstructured wwith wactive wlistening w- wans-b. wValidating wand
wempathetic wwith wopen-ended wquestions
A w36-year-old wfemale wair wtraffic wcontroller wpresents wto wher wprimary
wcare wprovider wfor wa wroutine wvisit w3 wmonths wafter wlosing wher wspouse
wto wa wlengthy wbattle wwith wa wneurodegenerative wdisease. wThe wpatient
wdenies wany wpsychiatric wsymptoms won wreview wof wsystems wand, win
wfact, wstates wthat wshe whas wslept wbetter win wthe wlast wmonth wthan wshe
whad win wthe wprevious wyears. wShe wendorses wa whealthy wsupport wsystem,
wincluding wthe wextended wfamily wof wher wdeceased wspouse, wwith wwhom
wshe wis wstill wclose. wShe wbecomes wwistful wand wbriefly wtearful wwhen
wspeaking wof wthe wplans wthat wthey whad wwhen wthey wfirst wmarried wthat
wwere wnever wfulfilled; wshe wthen wchanges wthe wsubject wrapidly wto
wwhether wher wPap wsmear wis wdue. wWhich wof wthe wfollowing wis wan
wexample wof wan wempathetic wresponse wto wthis wpatient?
a. wAssuming wthat wthe wevent wcaused wher wto wbecome wdepressed wand
wexpressing wthe wsame wfeeling won wbehalf wof wthe wpatient
b. wRecognizing wthe wpatient's wemotions wby wasking wor wc w- wans-b.
wRecognizing wthe wpatient's wemotions wby wasking wor wconfirming whow wshe
wfeels wabout wthe wevent
A w63-year-old wmale wpresents wto westablish wcare wat wa wnew wprimary
wcare wclinic wto wdiscuss wissues wwith wpain wand wfatigue. wThe wclinician
wconducting wthe wvisit wbegins wwith wgeneral whistorical wquestions wbut
wquickly wbecomes wsuspicious wthat wthe wpatient wis wsuffering wfrom
wdecompensated wheart wfailure. wWhen wthe wpatient wmentions wthat whe whas
whad wvague wchest wpain wsince wlast wnight, wthe wclinician wfeels wthat wthe
wfocus wmust wbe wredirected wto wthis wpotentially wemergent wcondition.
, wWhich wof wthe wfollowing winterview wtechniques wis wthe wmost wappropriate
wto weffectively wmanage wthis wvisit?
a. wProviding wserial wreassurances wsuch was, w"Don't wworry, wyou're wgoing
wto wbe wfine."
b. wAsking wa wseries wof wnegative wquestions wsuch was, w"You wdon't whave
wany wswelling win wyour wfeet, wdo wyou?" wc. wNonverbally wcuing wthe
wpatient wto wfocus won whis wnarrative wregarding wa wmotor wvehicle waccident
d. w(MVA) wthat wled wto wback wpain
e. wAsking wleading wquestions wthat wfocus won wthe w- wans-f. wMoving wfrom
wopen-ended wto wfocused wquestions
A w59-year-old wpatient wpresents wto whis wprimary wcare wprovider wwith wa
whistory wof wseveral wepisodes wof wsharp wepigastric wpain. wHis wfather wdied
wof wpancreatic wcancer wat wage w52 wyears, wand wthe wpatient wrecalls wto
wthe wclinician wthat, w"His wpain wwas wjust wlike wmine wis wnow w..." wThe
wpatient wthen wpauses wseveral wseconds. wThe wclinician wreplies, w"Just
wlike?" wafter wwhich wthe wpatient wrestarts whis wnarrative. wWhich wof wthe
wfollowing wis wan wexample wof wthe winterviewing wtechniques wemployed wby
wthe wclinician?
a. wClarifying
b. wEchoing
c. wEncouraging wwith wcontinuers w
d. wEliciting wa wgraded wresponse w
e. wAsking wa wleading wquestion w- wans-B. wEchoing
A w14-year-old wmale wpresents wto wa wnew wprimary wcare wprovider wafter
whis wfamily wrelocates wto wa wstate. wThe wpatient wunderwent wtreatment wfor
wsarcoma wwhen whe wwas wage w11 wyears, wincluding wan wabove-the-knee
wamputation. wHe whas wlearned wto wsuccessfully wnavigate wwith wa
wprosthetic wleg wand weven wengage win wcompetitive wathletics wat wschool.
wHe wdoes wnot wlike wto wspeak wof whis wexperience wwith wcancer wand
woften wmakes wup whumorous wstories wto wtell wnew wacquaintances wabout
whis wamputation w(such was, w"I wgot wbit wby wa wsquirrel wand wthey whad
wto wamputate."). wAlthough whe wis wvery wwell wengaged win wmost wof wthe
wvisit wwith wthe wnew wclinician, wwhen wthe wtopic wof wcancer warises, whe
wdemurs wto whis wfather, wwho waccompanies whim wto wthis wappointment.
wWhich wof wthe wfollowing wstatements wis wmost wlikely wto wbe whelpful win
wcementing wthe wpatient's wtrust win wthe wnew wprovider
a. w"That wsounds wlike wa wfrightening wexperience wthat wyou ware wrecovering
wwell wfrom."
b. w"You ware wbecom w- wans-a. w"That wsounds wlike wa wfrightening
wexperience wthat wyou ware wrecovering wwell wfrom."
