NR 509 TEST CHAPTER 14 LEARNING
WORKBOOK 2026 ABDOMINAL PHYSICAL
EXAMINATION SKILLS
◉ 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.
,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
Reassurance is not part of clarifying the patient's story; it is part of
establishing
rapport and empathizing with the patient.
◉ Mr. W. is a 51-year-old auto mechanic who comes to the
emergency room wanting to be
checked out for the symptom of chest pain. As you listen to him
describe his symptom in more
detail, you say "Go on," and later, "Mm-hmmm." This is an example of
which of the following skilled interviewing techniques?
A) Echoing
B) Nonverbal communication
C) Facilitation
D) Empathic response.
Answer: C) Facilitation
This is an example of facilitation. Facilitation can be posture, actions,
or words that
,encourage the patient to say more.
◉ Mrs. R. is a 92-year-old retired teacher who comes to your clinic
accompanied by her
daughter. You ask Mrs. R. why she came to your clinic today. She
looks at her daughter and
doesn't say anything in response to your question. This is an
example of which type of
challenging patient?
A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient.
Answer: C) Silent patient
This is one example of a silent patient. There are many possibilities
for this patient's silence: depression, dementia, the manner in which
you asked the question, and so on.
◉ Mrs. T. comes for her regular visit to the clinic. She is on your
schedule because her regular
provider is on vacation and she wanted to be seen. You have heard
about her many times from
, your colleague and are aware that she is a very talkative person.
Which of the following is a
helpful technique to improve the quality of the interview for both
the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the
appointment.
B) Briefly summarize what you heard from the patient in the first 5
minutes and then try to have her focus on one aspect of what she
told you.
C) Set the time limit at the beginning of the interview and stick with
it, no matter what occurs
in the course of the interview.
D) Allow your impatience to show so that the patient picks up on
your nonverbal cue that the
appointment needs to end..
Answer: B) Briefly summarize what you heard from the patient in
the first 5 minutes and then try to have her focus on one aspect of
what she told you.
You can also say, "I want to make sure I take good care of this
problem because it is very important. We may need to talk about the
others at the next appointment. Is that okay with you?" This is a
technique that can help you to change the subject but, at the same
time,
WORKBOOK 2026 ABDOMINAL PHYSICAL
EXAMINATION SKILLS
◉ 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.
,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
Reassurance is not part of clarifying the patient's story; it is part of
establishing
rapport and empathizing with the patient.
◉ Mr. W. is a 51-year-old auto mechanic who comes to the
emergency room wanting to be
checked out for the symptom of chest pain. As you listen to him
describe his symptom in more
detail, you say "Go on," and later, "Mm-hmmm." This is an example of
which of the following skilled interviewing techniques?
A) Echoing
B) Nonverbal communication
C) Facilitation
D) Empathic response.
Answer: C) Facilitation
This is an example of facilitation. Facilitation can be posture, actions,
or words that
,encourage the patient to say more.
◉ Mrs. R. is a 92-year-old retired teacher who comes to your clinic
accompanied by her
daughter. You ask Mrs. R. why she came to your clinic today. She
looks at her daughter and
doesn't say anything in response to your question. This is an
example of which type of
challenging patient?
A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient.
Answer: C) Silent patient
This is one example of a silent patient. There are many possibilities
for this patient's silence: depression, dementia, the manner in which
you asked the question, and so on.
◉ Mrs. T. comes for her regular visit to the clinic. She is on your
schedule because her regular
provider is on vacation and she wanted to be seen. You have heard
about her many times from
, your colleague and are aware that she is a very talkative person.
Which of the following is a
helpful technique to improve the quality of the interview for both
the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the
appointment.
B) Briefly summarize what you heard from the patient in the first 5
minutes and then try to have her focus on one aspect of what she
told you.
C) Set the time limit at the beginning of the interview and stick with
it, no matter what occurs
in the course of the interview.
D) Allow your impatience to show so that the patient picks up on
your nonverbal cue that the
appointment needs to end..
Answer: B) Briefly summarize what you heard from the patient in
the first 5 minutes and then try to have her focus on one aspect of
what she told you.
You can also say, "I want to make sure I take good care of this
problem because it is very important. We may need to talk about the
others at the next appointment. Is that okay with you?" This is a
technique that can help you to change the subject but, at the same
time,
