NR 509 Mid-Term
Exam Questions
Verified and Provided
with A+ Graded
Answers| Latest
Updated 2026
,Chapter 1
...
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.
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, humility, and sensitivity in favor of the
acquisition of concrete details about the patient’s condition
e.Taking a symptom-focused approach to reduce the involvement of
the patient’s emotional difficulties
,
, 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 concerns to concrete medical needs
d.Using nonverbal communication to encourage the patient to expand their
narrative
e.Considering a differential diagnosis while the patient is speaking to
maximize the patient’s time with the provider
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, and emotion
Exam Questions
Verified and Provided
with A+ Graded
Answers| Latest
Updated 2026
,Chapter 1
...
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.
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, humility, and sensitivity in favor of the
acquisition of concrete details about the patient’s condition
e.Taking a symptom-focused approach to reduce the involvement of
the patient’s emotional difficulties
,
, 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 concerns to concrete medical needs
d.Using nonverbal communication to encourage the patient to expand their
narrative
e.Considering a differential diagnosis while the patient is speaking to
maximize the patient’s time with the provider
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, and emotion
