NR 509 Mid-Term Study (2024/ 2025 Update)
Questions and Verified Answers| 100%
Correct |Grade A+.
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.
2. 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
ahttps://www.stuvia.com/user/Wisdoms
, 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
3. 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
ahttps://www.stuvia.com/user/Wisdoms
, 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
4. 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, and emotion
e. Facts, intelligence, fortuity, and eventuality
5. Chapter 2:
6. 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 sleep-
ing 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.
ahttps://www.stuvia.com/user/Wisdoms
, e. Ask about recent travel destinations.
7. 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
ahttps://www.stuvia.com/user/Wisdoms
Questions and Verified Answers| 100%
Correct |Grade A+.
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.
2. 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
ahttps://www.stuvia.com/user/Wisdoms
, 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
3. 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
ahttps://www.stuvia.com/user/Wisdoms
, 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
4. 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, and emotion
e. Facts, intelligence, fortuity, and eventuality
5. Chapter 2:
6. 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 sleep-
ing 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.
ahttps://www.stuvia.com/user/Wisdoms
, e. Ask about recent travel destinations.
7. 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
ahttps://www.stuvia.com/user/Wisdoms
