Midterm Exam NR 509 / NR 509:
Comprehensive Study Guide
Questions Bank / Actual
Questions and Correct Detailed
Answers, 2025/2026.
Terms in this set (218)
_____________Quiz____________?
Focused Assessment -
Answer✓✓
-Addresses focused concerns or symptoms
-Used for established clients during routine or urgent care visits
-Health history and physical exams are focused on the problem
-Includes:
• brief history of the present illness
• only the system related to the problem in the review of systems
_____________Quiz____________?
Comprehensive Assessment -
Answer✓✓
-Used for new clients
-Provides personalized information about the client
-Strengthens the clinician-client relationship
-Provides a baseline for future assessments
-Provides an opportunity for health promotion education and counseling
-Includes:
1
,• extended history of the present illness
• at least two areas of past medical history, family history, and social history
• at least 10 systems in the review of systems
_____________Quiz____________?
Subjective data -
Answer✓✓
includes symptoms that the client describes such as a sore throat, headache, or pain. It also includes the
client's feelings, perceptions, and concerns
Information obtained from the client during any part of the health history
Examples of Subjective Data:
-Lower back pain
-Fatigue
-Stomach cramps
-Immunization history
_____________Quiz____________?
Objective data -
Answer✓✓
includes the physical examination findings or signs observed
All physical examinations, laboratory information, and test data
Examples of Objective Data:
-Heart rate
-Blood pressure
-Lung sounds
-Wound appearance
-Ambulation description
-Weight
_____________Quiz____________?
2
,Clinical Encounter Sequence (detailed) -
Answer✓✓
Initiate Encounter
-Review the clinical record
-Ensure the client is comfortable
-Clarify the goals/agenda for the encounter; balance provider and client goals
-Establish rapport
-Identify the client's preferred title, name, and gender pronouns
-Use "people first" language (i.e., a person with hearing loss, a person who uses a wheelchair)
Gather Information
-ID the client's chief complaint or reason for seeking care
-Invite the client's story using an open-ended approach
-Gather information about the client's perspective of the illness using the mnemonic FIFE
-Conduct the health history interview
-Gather information about past medical history, medications and allergies, family history, personal and
social history, and ROS
Perform the Physical Exam
-Conduct the exam based on the information obtained from the health history
-Maintain client's comfort and privacy throughout the exam
Explain and Plan
-Assess and respond to the client's needs for information
-Negotiate and make decisions together
-Utilize teach-back to ensure the client understands the plan
Close the Encounter
-Leave time for the client to ask questions
-Summarize the plans for future evaluation, treatments, and follow up
3
, _____________Quiz____________?
The general sequence of a clinical encounter is to: -
Answer✓✓
-initiate the encounter
-gather information
-perform a physical exam
-develop a shared plan
-close the encounter
_____________Quiz____________?
FIFE mnemonic -
Answer✓✓
Feelings
Ideas
Function
Expectations
-A mnemonic for the patient's perspective on the illness
• The patient's Feelings, including fears or concerns, about the problem
• The patient's Ideas about the nature and the cause of the problem
• The effect of the problem on the patient's life and Function
• The patient's Expectations of the disease, of the clinician, or of health care, often based on prior
personal or family experiences
_____________Quiz____________?
Basic interviewing techniques -
Answer✓✓
-active listening
-empathy
4
Comprehensive Study Guide
Questions Bank / Actual
Questions and Correct Detailed
Answers, 2025/2026.
Terms in this set (218)
_____________Quiz____________?
Focused Assessment -
Answer✓✓
-Addresses focused concerns or symptoms
-Used for established clients during routine or urgent care visits
-Health history and physical exams are focused on the problem
-Includes:
• brief history of the present illness
• only the system related to the problem in the review of systems
_____________Quiz____________?
Comprehensive Assessment -
Answer✓✓
-Used for new clients
-Provides personalized information about the client
-Strengthens the clinician-client relationship
-Provides a baseline for future assessments
-Provides an opportunity for health promotion education and counseling
-Includes:
1
,• extended history of the present illness
• at least two areas of past medical history, family history, and social history
• at least 10 systems in the review of systems
_____________Quiz____________?
Subjective data -
Answer✓✓
includes symptoms that the client describes such as a sore throat, headache, or pain. It also includes the
client's feelings, perceptions, and concerns
Information obtained from the client during any part of the health history
Examples of Subjective Data:
-Lower back pain
-Fatigue
-Stomach cramps
-Immunization history
_____________Quiz____________?
Objective data -
Answer✓✓
includes the physical examination findings or signs observed
All physical examinations, laboratory information, and test data
Examples of Objective Data:
-Heart rate
-Blood pressure
-Lung sounds
-Wound appearance
-Ambulation description
-Weight
_____________Quiz____________?
2
,Clinical Encounter Sequence (detailed) -
Answer✓✓
Initiate Encounter
-Review the clinical record
-Ensure the client is comfortable
-Clarify the goals/agenda for the encounter; balance provider and client goals
-Establish rapport
-Identify the client's preferred title, name, and gender pronouns
-Use "people first" language (i.e., a person with hearing loss, a person who uses a wheelchair)
Gather Information
-ID the client's chief complaint or reason for seeking care
-Invite the client's story using an open-ended approach
-Gather information about the client's perspective of the illness using the mnemonic FIFE
-Conduct the health history interview
-Gather information about past medical history, medications and allergies, family history, personal and
social history, and ROS
Perform the Physical Exam
-Conduct the exam based on the information obtained from the health history
-Maintain client's comfort and privacy throughout the exam
Explain and Plan
-Assess and respond to the client's needs for information
-Negotiate and make decisions together
-Utilize teach-back to ensure the client understands the plan
Close the Encounter
-Leave time for the client to ask questions
-Summarize the plans for future evaluation, treatments, and follow up
3
, _____________Quiz____________?
The general sequence of a clinical encounter is to: -
Answer✓✓
-initiate the encounter
-gather information
-perform a physical exam
-develop a shared plan
-close the encounter
_____________Quiz____________?
FIFE mnemonic -
Answer✓✓
Feelings
Ideas
Function
Expectations
-A mnemonic for the patient's perspective on the illness
• The patient's Feelings, including fears or concerns, about the problem
• The patient's Ideas about the nature and the cause of the problem
• The effect of the problem on the patient's life and Function
• The patient's Expectations of the disease, of the clinician, or of health care, often based on prior
personal or family experiences
_____________Quiz____________?
Basic interviewing techniques -
Answer✓✓
-active listening
-empathy
4
