NR update/NR509 / NR 509 Midterm Exam (Latest 2024 / 2025): Advanced Physical Assessment - Chamberlain/GET IT 100% ACCURATE! /GRADED A+

NR509 2025-2026 update/NR509 / NR 509
Midterm Exam (Latest ):
Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCURATE!
/GRADED A+
AA34-year
oldAmaleAwithAaAhistoryAofAcomplexAsocialAandAmedicalAneedsA(includingAcurrentAsubstanc
eAabuse)ApresentsAtoAaAprimaryAcareAteachingAclinic.ATheApatientAhasAexperiencedAaAnum
berAofAadversarialArelationshipsAwithApriorAclinicians,AincludingAvoluntarilyAleavingAtwoApra
cticesAwithinAtheApreviousAyearAandAbeingAaskedAtoAleaveAcareAatAaAthirdAclinicAdueAtoAmis
behavior.ATheAattendingAphysicianAdesiresAtoAutilizeAtheAapproachesAtoAthisApatientAthatAar
eAmostAlikelyAleadAtoAcomprehensiveAcareAandApatientAcompliance.AWhichAofAtheAfollowing
AisAtheAmostAappropriateAinterviewAstyleAforAtheAattendingAphysicianAtoAuse?




a.AFocusingAonAtheAneedAforAimmediateAdiagnosticAcertaintyAoverApersonalAconnection
b.ATakingAchargeAofAtheAinteractionAtoAmeetAtheAclinician'sAdesireAtoAacquireAdiagnosticAinf
ormation
c.AFollowingAtheApatient'sAleadAtoAunderstandAtheirAthoughts,Aideas,Aconcerns,AandAreques
ts
d.ADeferringArespect,Aempathy,A-ACORRECTAANSWERSA-
c.AFollowingAtheApatient'sAleadAtoAunderstandAtheirAthoughts,Aideas,Aconcerns,AandAreques
ts
AA36-year-
oldAfemaleAairAtrafficAcontrollerApresentsAtoAherAprimaryAcareAproviderAforAaAroutineAvisitA3A
monthsAafterAlosingAherAspouseAtoAaAlengthyAbattleAwithAaAneurodegenerativeAdisease.ATh
eApatientAdeniesAanyApsychiatricAsymptomsAonAreviewAofAsystemsAand,AinAfact,AstatesAthat
AsheAhasAsleptAbetterAinAtheAlastAmonthAthanAsheAhadAinAtheApreviousAyears.ASheAendorses

AaAhealthyAsupportAsystem,AincludingAtheAextendedAfamilyAofAherAdeceasedAspouse,AwithA

whomAsheAisAstillAclose.ASheAbecomesAwistfulAandAbrieflyAtearfulAwhenAspeakingAofAtheApla
nsAthatAtheyAhadAwhenAtheyAfirstAmarriedAthatAwereAneverAfulfilled;AsheAthenAchangesAtheAs
ubjectArapidlyAtoAwhetherAherAPapAsmearAisAdue.AWhichAofAtheAfollowingAisAanAexampleAofA
anAempatheticAresponseAtoAthisApatient?

a.AAssumingAthatAtheAeventAcausedAherAtoAbecomeAdepressedAandAexpressingAtheAsameAf
eelingAonAbehalfAofAtheApatient
b.ARecognizingAtheApatient'sAemotionsAbyAaskingAorAconA-ACORRECTAANSWERSA-
b.ARecognizingAtheApatient'sAemotionsAbyAaskingAorAconfirmingAhowAsheAfeelsAaboutAtheAe
vent
AA19-year-
oldAstudentAofAartAhistoryApresentsAtoAclinicAafterAaAsyncopalA(fainting)AepisodeAatAschool.A
HeAisAnotablyAthin;AonAaAthoroughAreviewAofAhisAmedicalAhistory,AheAadmitsAthatAheAeatsAon

,lyAminimallyAtoAmaintainAaAveryAlowAbodyAweightAthatAheAfeelsAisAideal.AHeAisAembarrassed
AthatAhisAissuesAwereAdiscussedAbyApeersAafterAthisAepisode,AespeciallyAbecauseAheAbelie

vesAthatAthisAisAaAproblemAthatAisAonlyAfacedAbyAgirlsAandAwomen.AConcerningAtheAtwoAmo
stAcommonAeatingAdisordersA(anorexiaAnervosaAandAbulimiaAnervosa),AwhichAofAtheAfollow
ingAstatementsAisAtrue?

a.AMenAandAwomenAareAbothAafflicted,AbutAwithAaAfemale:maleAprevalenceAratioAestimated
AatA~2:1.A

b.ABothAofAtheseAeatingAdisordersAareAassociatedAwithAaAbodyAmassAindexA(BMI)AofA<17.5.
c.ABothAofAtheseAeatingAdisordersAareAassociatedAwithAaArealAorAimaginedAfearAofAappearin
gAfat.
d.APersonsAwithAeatingAdisordersAareAgenerallyAeasilyAidentifiedAbyAtheirAappearaA-
ACORRECTAANSWERSA-

c.ABothAofAtheseAeatingAdisordersAareAassociatedAwithAaArealAorAimaginedAfearAofAappearin
gAfat.
AA23-year-
oldAphysicianAassistantA(PA)AstudentAfoundAthatAsheAfeltAnervousAwhenAcalledAuponAtoAexa
mineAmenAinAherAageAgroup.AOnAoneAoccasion,AsheAencounteredAaAyoungAmaleApatientAw
hoAappearedAembarrassedAtoAseeAherAwalkAintoAtheAroom.AWhatAshouldAtheAPAAdoAtoAmini
mizeAtheirAmutualAdiscomfort?

a.AAdjustAlightingAsoAitAisAtangentialAtoAtheApatient'sAbody.
b.AExplainAhowAtheAexaminationAwillAproceed.
c.AAskAtheApatientAwhereAheAcomesAfrom.
d.AExplainAthatAsheAisAaAPAAstudent.
e.AProvideAongoingAinterpretationAofAfindings.A-ACORRECTAANSWERSA-
b.AExplainAhowAtheAexaminationAwillAproceed.
AA17-year-
oldAmaleApresentsAtoAaAsexuallyAtransmittedAdiseaseAclinicAatAtheAbehestAofAhisAbrother,Aw
hoAconvincedAtheApatientAtoAattendAtheAclinicAafterAheAdisclosedAthatAheAprefersAhomosexu
alApartnersAbutAisAafraidAthatAhisAlastApartnerAmayAhaveAgivenAhimAanAinfection.ATheApatien
tAexpressesAtoAtheAintakeAnurseAthatAheAisAunashamedAofAhisAsexualAorientationAandAwillAn
otAstayAthroughAtheAvisitAifAheAfeelsAthatAheAisAdismissedAorAdiscriminatedAagainstAbecause
AofAit.ATheAnurseApractitionerAreceivesAthisAcommunicationApriorAtoAenteringAtheAexaminati

onAroomAandAdecidesAtoAemployAactiveAlisteningAtoAbestAconnectAwithAtheApatientAatAthisAcr
iticalAjunctureAinAhisAcareAwithAtheAclinic.AWhichAofAtheAfollowingAisAanAexampleAofAanAactiv
eAlisteningAtechnique?

a.AIgnoringAvisualAcuesAtoAfocusAonAtheApatient'sAexactAwords
b.ASettingAasideAtheApatient'sAemotionalAstateAtoAfocusAonAhisAmedicalAneeds
c.AParingAdownAtheApatient'sAconceA-ACORRECTAANSWERSA-
d.AUsingAnonverbalAcommunicationAtoAencourageAtheApatientAtoAexpandAtheirAnarrative
AA42-year-oldAfemaleAmathematicianApresentsAforAfollow-
upAcareAregardingAaAnewAdiagnosisAofAsystemicAlupusAerythematosusA6AmonthsAagoAafterA
aAlengthyAdiagnosticAprocessAduringAwhichAsheAwasAdebilitatedAwithAfatigueAandAjointApain
.ASinceAherAdiagnosis,AsheAhasAbeenAminimallyAcompliantAwithAmedicationsAandAhasAswitc

, hedAherArheumatologyAproviderAtwice.ASheAcontinuesAtoAfeelAill,Aand,AinAexplanationAforAhe
rAlackAofAadherenceAtoAtheAprescribedAtreatment,AsheAsimplyAsays,A"IAdon'tAlikeAit."AAtAthisAi
nitialAvisitAwithAherAthirdArheumatologyAprovider,AtheAclinicianAelectsAtoAexploreAtheAissuesA
behindAherAnoncomplianceAbeforeAengagingAinAdiagnosticsAandAtreatmentAusingAtheAFIFE
Amodel.AWhichAofAtheAfollowingAbestAdefinesAtheAelementsAofAtheAFIFEAmodel?




a.AFocus,Aintensity,Afunction,AandAevaluationA
b.AFacts,Aintensity,Afocus,AandAevidence
c.AFeelings,Aideas,Afunction,AandAexpectationsA
d.AFeelings,Aimpression,Afantasy,AandAemA-ACORRECTAANSWERSA-
c.AFeelings,Aideas,Afunction,AandAexpectations
AA39-year-oldAnurseAwhoAisAaAwell-
establishedApatientAcomplainsAofAirregularAmenstrualAperiodsAandApelvicApain.ASheAsaysAt
hatAsheAisAhavingAtroubleAsleepingAandAasksAwhetherAsheAcouldAbeAgivenAaA"sleepingApill."
ATheApatientAalsoAsaysAsheAisAthinkingAofAleavingAherAjob.AWhatAisAtheAbestA"nextAstep"AinAc

aringAforAthisApatient?

a.APerformAaApelvicAexamination.
b.AObtainAaAurineAsampleAforAtesting.
c.AObtainAaAmoreAcompleteAdescriptionAofAproblems.A
d.AObtainAbloodAforAtesting.
e.AAskAaboutArecentAtravelAdestinations.A-ACORRECTAANSWERSA-
c.AObtainAaAmoreAcompleteAdescriptionAofAproblems.
AA29-year-
oldAfemaleAprofessionalAathleteApresentsAtoAaAnewAprimaryAcareAproviderAwithAchronicAme
nstrualAcomplaints.ASheAremarksAtoAtheAnursingAstaffAthat,AinAtheApast,AsheAhasAexperienc
edAaAdismissalAofAherAcomplaintsAbecauseAofAherAhighAlevelAofAphysicalAfitnessAandAconditi
oning.ASheAisAseekingAaAcareAproviderAwhoAwillAexploreAtheAissueAinAmoreAdetailAandAworkA
withAherAparticularAconcerns.AWhichAofAtheAfollowingAisAtheAdescriptionAofAtheApatient-
centeredAcareAthisAindividualAseeks?

a.AStructuredAandAclinician-centeredAwithAopen-endedAquestions
b.AValidatingAandAempatheticAwithAopen-endedAquestions
c.ADismissiveAandAconcreteAwithAopen-endedAquestionsA
d.AAffirmingAandAreassuringAwithAclose-endedAquestionsA
e.AFactualAandAstructuredAwithAactiveAlisteningA-ACORRECTAANSWERSA-
b.AValidatingAandAempatheticAwithAopen-endedAquestions
AA63-year-
oldAmaleApresentsAtoAestablishAcareAatAaAnewAprimaryAcareAclinicAtoAdiscussAissuesAwithAp
ainAandAfatigue.ATheAclinicianAconductingAtheAvisitAbeginsAwithAgeneralAhistoricalAquestion
sAbutAquicklyAbecomesAsuspiciousAthatAtheApatientAisAsufferingAfromAdecompensatedAhear
tAfailure.AWhenAtheApatientAmentionsAthatAheAhasAhadAvagueAchestApainAsinceAlastAnight,At
heAclinicianAfeelsAthatAtheAfocusAmustAbeAredirectedAtoAthisApotentiallyAemergentAcondition.
AWhichAofAtheAfollowingAinterviewAtechniquesAisAtheAmostAappropriateAtoAeffectivelyAmanag

eAthisAvisit?