1
NUR 634 ADVANCED ASSESSMET MIDTERM
EXAM 1 2024/2025 COMPLETE QUESTION WITH
100% CORRECT AND ACCURATE ANSWERS
GRADED A+
For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand"
You are running late after your quarterly quality improvement meeting at the hospital and have
just gotten paged from the nurses' station because a family member of one of your patients wants
to talk with you about that patient's care. You have clinic this afternoon and are double-booked
for the first appointment time; three other patients also have arrived and are sitting in the waiting
room. Which of the following demeanors is a behavior consistent with skilled interviewing when
you walk into the examination room to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to
go into the examination room to interview her. Which of the following is the most logical
sequence for the patient-provider interview?
a) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
b) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
,2
c) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand and clarify the patient's story, and negotiate a plan.
d) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport.
You are interviewing an elderly woman in the ambulatory setting and trying to get more
information about her urinary symptoms. Which of the following techniques is not a component
of adaptive questioning?
A) Directed questioning: starting with the general and proceeding to the specific in a manner that
does not make the patient give a yes/no answer
B) Reassuring the patient that the urinary symptoms are benign and that she doesn't need
to worry about it being a sign of cancer
C) Offering the patient multiple choices in order to clarify the character of the urinary symptoms
that she is experiencing
D) Asking her to tell you exactly what she means when she states that she has a urinary tract
infection
A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the
provider, you need to get a sexual history. Which one of the following questions is inappropriate
for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone, and did that contact
include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months?
A patient is describing a very personal part of her history very quickly and in great detail. How
should you react to this?
A) Write down as much as you can, as quickly as possible.
, 3
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen.
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist
in the local symphony orchestra and has started having symptoms during performances, such as
sweating, shaking, and hyperventilating. It has gotten so bad that he has thought about giving up
his first chair status so he does not have to play the solo during one of the movements. He says
that he never has these symptoms during rehearsals or when he is practicing. He denies having
any of these symptoms at any other time. His past medical history is unremarkable. He denies
any tobacco use, drug use, or alcohol abuse. His parents are both healthy. On examination you
see a young man who appears worried. His vital signs and physical examination are
unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective
NUR 634 ADVANCED ASSESSMET MIDTERM
EXAM 1 2024/2025 COMPLETE QUESTION WITH
100% CORRECT AND ACCURATE ANSWERS
GRADED A+
For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand"
You are running late after your quarterly quality improvement meeting at the hospital and have
just gotten paged from the nurses' station because a family member of one of your patients wants
to talk with you about that patient's care. You have clinic this afternoon and are double-booked
for the first appointment time; three other patients also have arrived and are sitting in the waiting
room. Which of the following demeanors is a behavior consistent with skilled interviewing when
you walk into the examination room to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to
go into the examination room to interview her. Which of the following is the most logical
sequence for the patient-provider interview?
a) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
b) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
,2
c) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand and clarify the patient's story, and negotiate a plan.
d) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport.
You are interviewing an elderly woman in the ambulatory setting and trying to get more
information about her urinary symptoms. Which of the following techniques is not a component
of adaptive questioning?
A) Directed questioning: starting with the general and proceeding to the specific in a manner that
does not make the patient give a yes/no answer
B) Reassuring the patient that the urinary symptoms are benign and that she doesn't need
to worry about it being a sign of cancer
C) Offering the patient multiple choices in order to clarify the character of the urinary symptoms
that she is experiencing
D) Asking her to tell you exactly what she means when she states that she has a urinary tract
infection
A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the
provider, you need to get a sexual history. Which one of the following questions is inappropriate
for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone, and did that contact
include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months?
A patient is describing a very personal part of her history very quickly and in great detail. How
should you react to this?
A) Write down as much as you can, as quickly as possible.
, 3
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen.
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist
in the local symphony orchestra and has started having symptoms during performances, such as
sweating, shaking, and hyperventilating. It has gotten so bad that he has thought about giving up
his first chair status so he does not have to play the solo during one of the movements. He says
that he never has these symptoms during rehearsals or when he is practicing. He denies having
any of these symptoms at any other time. His past medical history is unremarkable. He denies
any tobacco use, drug use, or alcohol abuse. His parents are both healthy. On examination you
see a young man who appears worried. His vital signs and physical examination are
unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective
