Midterm Study: NR509 / NR 509
(Latest ) Advanced
Physical Assessment | Chapter 1 -17
Review Questions| Grade A -
Chamberlain
Chapter 1
Question:
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?
Answer:
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
Question:
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?
Answer:
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and emotion
e. Facts, intelligence, fortuity, and eventuality
,Question:
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?
Answer:
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.
Question:
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?
Answer:
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
Chapter 2
Question:
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?
Answer:
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.
(Latest ) Advanced
Physical Assessment | Chapter 1 -17
Review Questions| Grade A -
Chamberlain
Chapter 1
Question:
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?
Answer:
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
Question:
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?
Answer:
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and emotion
e. Facts, intelligence, fortuity, and eventuality
,Question:
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?
Answer:
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.
Question:
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?
Answer:
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
Chapter 2
Question:
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?
Answer:
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.
