NR509 HEALTH
ASSESSMENT
BATES QUESTIONS
WITH VERIFIED
SOLUTIONS.
(MIDTERM)
[Document subtitle]
,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. - solutions:b. Explain how the
examination will proceed
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, empat - solutions:c. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests
,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 - solutions:d. Using nonverbal communication to
encourage the patient to expand their narrative
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, - solutions:c. Feelings, ideas, function, and
expectations
, A 39-year-old nurse who is a well-established patient complains of irregular
menstrual periods and pelvic pain. She says that she is having trouble
sleeping and asks whether she could be given a "sleeping pill." The patient
also says she is thinking of leaving her job. What is the best "next step" in
caring for this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
d. Obtain blood for testing.
e. Ask about recent travel destinations. - solutions:c. Obtain a more complete
description of problems.
A 29-year-old female professional athlete presents to a new primary care
provider with chronic menstrual complaints. She remarks to the nursing staff
that, in the past, she has experienced a dismissal of her complaints because
of her high level of physical fitness and conditioning. She is seeking a care
provider who will explore the issue in more detail and work with her
particular concerns. Which of the following is the description of the patient-
centered care this individual seeks?
a. Structured and clinician-centered with open-ended questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
e. Factual and structured with active listening - solutions:b. Validating and
empathetic with open-ended questions
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
ASSESSMENT
BATES QUESTIONS
WITH VERIFIED
SOLUTIONS.
(MIDTERM)
[Document subtitle]
,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. - solutions:b. Explain how the
examination will proceed
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, empat - solutions:c. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests
,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 - solutions:d. Using nonverbal communication to
encourage the patient to expand their narrative
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, - solutions:c. Feelings, ideas, function, and
expectations
, A 39-year-old nurse who is a well-established patient complains of irregular
menstrual periods and pelvic pain. She says that she is having trouble
sleeping and asks whether she could be given a "sleeping pill." The patient
also says she is thinking of leaving her job. What is the best "next step" in
caring for this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
d. Obtain blood for testing.
e. Ask about recent travel destinations. - solutions:c. Obtain a more complete
description of problems.
A 29-year-old female professional athlete presents to a new primary care
provider with chronic menstrual complaints. She remarks to the nursing staff
that, in the past, she has experienced a dismissal of her complaints because
of her high level of physical fitness and conditioning. She is seeking a care
provider who will explore the issue in more detail and work with her
particular concerns. Which of the following is the description of the patient-
centered care this individual seeks?
a. Structured and clinician-centered with open-ended questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
e. Factual and structured with active listening - solutions:b. Validating and
empathetic with open-ended questions
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
