NR509 / NR 509 Advanced Physical Assessment Midterm
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
Decisional Capacity
Correct Answer: Understand, Appreciate, Reason, Communicate choice
(different from legal competence).
Question 2.
Active Listening
Correct Answer: Full attention to patient's words + cues.
Question 3.
Guided Questioning
Correct Answer: Open → focused → closed; continuers ("go on"), echoing,
clarifying vague terms.
Question 4.
Empathy
Correct Answer: Reflect back feelings.
Question 5.
Validation
Correct Answer: Legitimize concerns.
Question 6.
Patient Education
Correct Answer: Use plain language; 1-3 key points.
Question 7.
Ask Me Three
Correct Answer: What is my problem? What do I need to do? Why is it
important?
‣ SBAR ✓✓Situation, Background, Assessment, Recommendation (team
communication).
,Question 8.
INTERPRET
Correct Answer: Introduce, Note goals, Transparency, Ethics, Respect, Patient
focus, Retain control, Explain, Thank (working with interpreters).
Question 9.
SPIKES
Correct Answer: Setting, Perception, Invitation, Knowledge, Emotions,
Strategy/Summary (delivering serious news).
Question 10.
OARS
Correct Answer: Open-ended questions, Affirmations, Reflections, Summaries
(motivational interviewing).
Question 11.
Informed Consent - 5 Elements
Correct Answer: Nature of procedure, Risks and benefits, Alternatives, Risks
and benefits of alternatives, Patient understanding (requires decisional
capacity).
Question 12.
Angry
Correct Answer: stay calm, validate, ensure safety.
Question 13.
Confused/cognitively impaired
Correct Answer: clarify, involve caregiver.
Question 14.
Emotional/tearful
Correct Answer: allow expression, respond with empathy.
Question 15.
Low literacy
Correct Answer: use plain language + teach-back.
‣ Discriminatory or flirtatious ✓✓set professional boundaries.
, Question 16.
Risk in EHR and Communication
Correct Answer: loss of eye contact, fragmented rapport.
Question 17.
Strategies for EHR and Communication
Correct Answer: review before, face patient, share screen, narrate typing,
pause during sensitive topics.
Question 18.
FIFE - Patient's Perspective
Correct Answer: Feelings → "How has this made you feel?" "What worries you
most?"
Question 19.
NURSE - Responding to Emotions
Correct Answer: Name → "It sounds like this has been very stressful for you."
Question 20.
Teach-Back - Confirming Understanding
Correct Answer: "I want to make sure I explained things clearly. Can you tell
me in your own words how you'll take this medication?"
Question 21.
Shared Decision-Making (3-Talk Model)
Correct Answer: Team Talk → "There are a few different ways we could
approach this, and I'd like us to decide together."
Question 22.
SBAR - Interprofessional Communication
Correct Answer: Situation: "This is Ms. Jones, she came in today with chest
pain."
‣ INTERPRET - Using an Interpreter ✓✓Introduce → "This is [interpreter's
name]; they'll help us communicate today."
Question 23.
SPIKES - Delivering Serious News
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
Decisional Capacity
Correct Answer: Understand, Appreciate, Reason, Communicate choice
(different from legal competence).
Question 2.
Active Listening
Correct Answer: Full attention to patient's words + cues.
Question 3.
Guided Questioning
Correct Answer: Open → focused → closed; continuers ("go on"), echoing,
clarifying vague terms.
Question 4.
Empathy
Correct Answer: Reflect back feelings.
Question 5.
Validation
Correct Answer: Legitimize concerns.
Question 6.
Patient Education
Correct Answer: Use plain language; 1-3 key points.
Question 7.
Ask Me Three
Correct Answer: What is my problem? What do I need to do? Why is it
important?
‣ SBAR ✓✓Situation, Background, Assessment, Recommendation (team
communication).
,Question 8.
INTERPRET
Correct Answer: Introduce, Note goals, Transparency, Ethics, Respect, Patient
focus, Retain control, Explain, Thank (working with interpreters).
Question 9.
SPIKES
Correct Answer: Setting, Perception, Invitation, Knowledge, Emotions,
Strategy/Summary (delivering serious news).
Question 10.
OARS
Correct Answer: Open-ended questions, Affirmations, Reflections, Summaries
(motivational interviewing).
Question 11.
Informed Consent - 5 Elements
Correct Answer: Nature of procedure, Risks and benefits, Alternatives, Risks
and benefits of alternatives, Patient understanding (requires decisional
capacity).
Question 12.
Angry
Correct Answer: stay calm, validate, ensure safety.
Question 13.
Confused/cognitively impaired
Correct Answer: clarify, involve caregiver.
Question 14.
Emotional/tearful
Correct Answer: allow expression, respond with empathy.
Question 15.
Low literacy
Correct Answer: use plain language + teach-back.
‣ Discriminatory or flirtatious ✓✓set professional boundaries.
, Question 16.
Risk in EHR and Communication
Correct Answer: loss of eye contact, fragmented rapport.
Question 17.
Strategies for EHR and Communication
Correct Answer: review before, face patient, share screen, narrate typing,
pause during sensitive topics.
Question 18.
FIFE - Patient's Perspective
Correct Answer: Feelings → "How has this made you feel?" "What worries you
most?"
Question 19.
NURSE - Responding to Emotions
Correct Answer: Name → "It sounds like this has been very stressful for you."
Question 20.
Teach-Back - Confirming Understanding
Correct Answer: "I want to make sure I explained things clearly. Can you tell
me in your own words how you'll take this medication?"
Question 21.
Shared Decision-Making (3-Talk Model)
Correct Answer: Team Talk → "There are a few different ways we could
approach this, and I'd like us to decide together."
Question 22.
SBAR - Interprofessional Communication
Correct Answer: Situation: "This is Ms. Jones, she came in today with chest
pain."
‣ INTERPRET - Using an Interpreter ✓✓Introduce → "This is [interpreter's
name]; they'll help us communicate today."
Question 23.
SPIKES - Delivering Serious News
