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NURS 5220 ADVANCED PHYSICAL ASSESSMENT
EXAM 1 MODULE 1,2,3,5,6,8 NEWEST 2025 ACTUAL
EXAM COMPLETE 177 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Mr. Sandstrom has come for his routine appointment for his
hypertension. He is not experiencing medication side effects or
other health problems. Which of the following questions is most
appropriate to ask when you begin the interview?
A. "How have you been doing since your last visit?"
B. "Have you been taking your medications?"
C. "What brings you to the office today?"
D. "How are you doing with your hypertension?" - ANSWER-
A:CorrectAt the start, greet the patient and those with the
patient.
Rationale; Begin by asking open-ended questions ("How
have you been feeling since we last met?" "What questions
would you like to discuss?" "What do you want to make
sure we cover in today's visit?").
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During an interview, a patient admits to feeling worthless and
having a sleep disturbance for the last 3 weeks. These clues
warrant exploring the possibility of:
A. altered cognition.
B. suicidal ideation or plan.
C. substance abuse.
D. panic attacks. - ANSWER-B:CorrectA
Rationale; sense of sluggishness in the daily experience;
disturbances in sleeping, eating, and social contact; and
feelings of loss of self-worth can be clues for depression.
When questioning a patient regarding a sensitive issue such as
drug use, it is best to:
A. begin by describing the effects of drug abuse on health.
B. be direct, firm, and to the point.
C. explain that only health care workers will share the
information.
D. explain that only health care workers will share the
information. - ANSWER-B:
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Rationale; Sensitive issues, which may be difficult to discuss
but are important to address, include sex, drug or alcohol
use, or concerns about death. Being direct, firm, and to the
point are successful techniques used in these types of
interviews. Answers a, c, and d, have proven to be ineffective
techniques in these situations.
When taking a patient's history, you are asked questions about
your personal life. What is the best response to facilitate the
interview process?
A. Answer briefly and then refocus on the patient's history.
B. Give as much detail as possible about the asked information.
C. Ignore the question and continue with the patient's history.
D. Tell the patient that it is inappropriate to answer personal
questions. - ANSWER-A:Correct
Rationale; Patients will sometimes ask about you. Although
you are not the point, you may be comfortable revealing
some relevant aspects of your experience ("I have trouble
remembering to take medicines, too"). A direct answer will
usually do. Often, simply informing your patients that you
have experienced similar life events (e.g., illness, pregnancy,
and childbirth) can help alleviate fears and help in the
identification of the patient's concerns. The message that you
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are a "real" person can lead to a trust-enhancing or even
therapeutic exchange.
Mr. Jerry Spenser, a 26-year-old homosexual man, is having a
health history taken. Which question regarding sexual activity
would most likely hamper trust between Jerry and the
interviewer?
A. "Are you married or do you have a girlfriend?"
B. "Tell me about your living situation."
C. "Are you sexually active?"
D. "Are your partners men, women, or both?" - ANSWER-
A:Correct
Rationale; The sexual orientation of a patient must be
known if appropriate continuity of care is to be offered. The
apprehension these patients may feel in revealing their
preferences should be respected. Reassuring, nonjudgmental
words help. Trust is best achieved if questions are gender
neutral and open ended. If you use a nonjudgmental
approach, a variety of questions applicable to any patient
and any sexual circumstance becomes possible.
Long periods of silence during an interview may indicate:
NURS 5220 ADVANCED PHYSICAL ASSESSMENT
EXAM 1 MODULE 1,2,3,5,6,8 NEWEST 2025 ACTUAL
EXAM COMPLETE 177 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Mr. Sandstrom has come for his routine appointment for his
hypertension. He is not experiencing medication side effects or
other health problems. Which of the following questions is most
appropriate to ask when you begin the interview?
A. "How have you been doing since your last visit?"
B. "Have you been taking your medications?"
C. "What brings you to the office today?"
D. "How are you doing with your hypertension?" - ANSWER-
A:CorrectAt the start, greet the patient and those with the
patient.
Rationale; Begin by asking open-ended questions ("How
have you been feeling since we last met?" "What questions
would you like to discuss?" "What do you want to make
sure we cover in today's visit?").
,2|Page
During an interview, a patient admits to feeling worthless and
having a sleep disturbance for the last 3 weeks. These clues
warrant exploring the possibility of:
A. altered cognition.
B. suicidal ideation or plan.
C. substance abuse.
D. panic attacks. - ANSWER-B:CorrectA
Rationale; sense of sluggishness in the daily experience;
disturbances in sleeping, eating, and social contact; and
feelings of loss of self-worth can be clues for depression.
When questioning a patient regarding a sensitive issue such as
drug use, it is best to:
A. begin by describing the effects of drug abuse on health.
B. be direct, firm, and to the point.
C. explain that only health care workers will share the
information.
D. explain that only health care workers will share the
information. - ANSWER-B:
,3|Page
Rationale; Sensitive issues, which may be difficult to discuss
but are important to address, include sex, drug or alcohol
use, or concerns about death. Being direct, firm, and to the
point are successful techniques used in these types of
interviews. Answers a, c, and d, have proven to be ineffective
techniques in these situations.
When taking a patient's history, you are asked questions about
your personal life. What is the best response to facilitate the
interview process?
A. Answer briefly and then refocus on the patient's history.
B. Give as much detail as possible about the asked information.
C. Ignore the question and continue with the patient's history.
D. Tell the patient that it is inappropriate to answer personal
questions. - ANSWER-A:Correct
Rationale; Patients will sometimes ask about you. Although
you are not the point, you may be comfortable revealing
some relevant aspects of your experience ("I have trouble
remembering to take medicines, too"). A direct answer will
usually do. Often, simply informing your patients that you
have experienced similar life events (e.g., illness, pregnancy,
and childbirth) can help alleviate fears and help in the
identification of the patient's concerns. The message that you
, 4|Page
are a "real" person can lead to a trust-enhancing or even
therapeutic exchange.
Mr. Jerry Spenser, a 26-year-old homosexual man, is having a
health history taken. Which question regarding sexual activity
would most likely hamper trust between Jerry and the
interviewer?
A. "Are you married or do you have a girlfriend?"
B. "Tell me about your living situation."
C. "Are you sexually active?"
D. "Are your partners men, women, or both?" - ANSWER-
A:Correct
Rationale; The sexual orientation of a patient must be
known if appropriate continuity of care is to be offered. The
apprehension these patients may feel in revealing their
preferences should be respected. Reassuring, nonjudgmental
words help. Trust is best achieved if questions are gender
neutral and open ended. If you use a nonjudgmental
approach, a variety of questions applicable to any patient
and any sexual circumstance becomes possible.
Long periods of silence during an interview may indicate:
