NRD F 509D F Mid-
TermD F StudyD F Questions
1. ChapterDF1:DF...
2. 1.DFADF23-year-
oldDFphysicianDFassistantDF(PA)DFstudentDFfoundDFthatDFsheDFfeltDFnervousDFwhenDFcall
edDFuponDFtoDFexamineDFmenDFinDFherDFageDFgroup.DFOnDFoneDFoccasion,DFsheDFen-
counteredD F aD F youngD F maleD F patientD F whoD F appearedD F embarrassedD F toD F seeD F her
D F walkDFintoDFtheDFroom.DFWhatDFshouldDFtheDFPADFdoDFtoDFminimizeDFtheirDFmutu
alDFdiscomfort?:DFa.DFAdjustDFlightingDFsoDFitDFisDFtangentialDFtoDFtheDFpatient'sDFbody.
b. ExplainDFhowDFtheDFexaminationDFwillDFproceed.
c. AskDFtheDFpatientDFwhereDFheDFcomesDFfrom.
d. ExplainDFthatDFsheDFisDFaDFPADFstudent.
e. ProvideDFongoingDFinterpretationDFofDFfindings.
3. ADF34-year-
oldDFmaleDFwithDFaDFhistoryDFofDFcomplexDFsocialDFandDFmedicalDFneedsDF(includi
ngDFcurrentDFsubstanceDFabuse)DFpresentsDFtoDFaDFprimaryDFcareDFteachingDFclinic.DF
TheD F patientD F hasD F experiencedD F aD F numberD F ofD F adversarialD F relationshipsD F wi
thD F pri-
orDFclinicians,DFincludingDFvoluntarilyDFleavingDFtwoDFpracticesDFwithinDFtheDFprevio
usDFyearDFandDFbeingDFaskedDFtoDFleaveDFcareDFatDFaDFthirdDFclinicDFdueDFtoDF
misbehavior.DFTheDFattendingDFphysicianDFdesiresDFtoDFutilizeDFtheDFapproachesDFto
DFthisDFpatientDFthatDFareDFmostDFlikelyDFleadDFtoDFcomprehensiveDFcareDFandDFpa
tientDFcompliance.DFWhichDFofDFtheDFfollowingD F isD F theD F mostD F appropriateD F int
erviewD F styleD F forD F theD F attendingD F physicianDFtoD F use?:D F a.DFFocusingDFonDFtheDFneedDFfo
rDFimmediateDFdiagnosticDFcertaintyDFoverDFpersonalDFconnection
b. TakingDFchargeDFofDFtheDFinteractionDFtoDFmeetDFtheDFclinician'sDFdesireDFtoDFacquireDFdiagnosticDFinformation
c. FollowingDFtheDFpatient'sDFleadDFtoDFunderstandDFtheirDFthoughts,DFideas,DFconcerns,DFandDFrequests
d. DeferringDFrespect,DFempathy,DFhumility,DFandDFsensitivityDFinDFfavorDFofDFtheDFacquisitionDFofDFconcreteDFdetailsDFaboutDFtheDFpatie
nt'sDFcondition
e. TakingDFaDFsymptom-focusedDFapproachDFtoDFreduceDFtheDFinvolvementDFofDFtheDFpatient'sDFemotionalDFdiflculties
4. ADF17-year-
oldDFmaleDFpresentsDFtoDFaDFsexuallyDFtransmittedDFdiseaseDFclinicDFatDFtheDFbeh
estD F ofD F hisD F brother,D F whoD F convincedD F theD F patientD F toD F attendD F theD F cli
nicD F afterDFheDFdisclosedDFthatDFheDFprefersDFhomosexualDFpartnersDFbutDFisD
FafraidDFthatDFhisDFlast
partnerD F mayD F haveD F givenD F himD F anD F infection.D F TheD F patientD F expressesD F toD
, NRD F 509D F Mid-
TermD F StudyD F Questions
F theD F intakeDFnurseD F thatD F heD F isD F unashamedD F ofD F hisD F sexualD F orientationD F an
dD F willD F notD F stayD F throughDFtheDFvisitDFifDFheDFfeelsDFthatDFheDFisDFdismissed
DForDFdiscriminatedDFagainstDFbecauseDFofDFit.DFTheDFnurseDFpractitionerDFreceive
sDFthisDFcommunicationDFpriorDFtoDFenteringDFtheDFexaminationD F roomD F andD F dec
idesD F toD F employD F activeD F listeningD F toD F bestD F connectD F with
, NRD F 509D F Mid-
TermD F StudyD F Questions
theD F patientD F atD F thisD F criticalD F junctureD F inD F hisD F careD F withD F theD F clinic.D F W
hichD F ofD F theDFfollowingDFisDFanDFexampleDFofDFanDFactiveDFlisteningDFtechnique?:D F a.DFIgn
oringDFvisualDFcuesDFtoDFfocusDFonDFtheDFpatient'sDFexactDFwords
b. SettingDFasideDFtheDFpatient'sDFemotionalDFstateDFtoDFfocusDFonDFhisDFmedicalDFneeds
c. ParingDFdownDFtheDFpatient'sDFconcernsDFtoDFconcreteDFmedicalDFneeds
d. UsingDFnonverbalDFcommunicationDFtoDFencourageDFtheDFpatientDFtoDFexpandDFtheirDFnarrative
e. ConsideringDFaDFditterentialDFdiagnosisDFwhileDFtheDFpatientDFisDFspeakingDFtoDFmaximizeDFtheDFpatient'sDFtimeDFwithD
FtheDFprovider
5. ADF42-year-oldDFfemaleDFmathematicianDFpresentsDFforDFfollow-
upDFcareDFregardingDFaDFnewDFdiagnosisDFofDFsystemicDFlupusDFerythematosusDF6D
FmonthsDFagoDFafterDFaDFlengthyDFdiagnosticDFprocessDFduringDFwhichDFsheDFwasD
FdebilitatedDFwithDFfatigueDFandDFjointD F pain.DFSinceDFherDFdiagnosis,DFsheDFhasDF
beenDFminimallyDFcompliantDFwithDFmedicationsDFandDFhasDFswitchedDFherDFrheumat
ologyDFproviderDFtwice.DFSheDFcontinuesDFtoDFfeelDFill,DFand,DFinDFexplanationDFfo
rDFherDFlackDFofDFadherenceDFtoDFtheDFprescribedDFtreatment,DFsheDFsimplyDFsays,
DF"IDFdon'tDFlikeDFit."DFAtDFthisDFinitialDFvisitDFwithDFherDFthirdDFrheumatologyD
F provider,DFtheDFclinicianDFelectsDFtoDFexploreDFtheDFissuesDFbehindDFherDFnoncom
plianceDFbeforeDFengagingDFinDFdiagnosticsDFandDFtreatmentDFusingDFtheDFFIFEDFmo
del.DFWhichDFofDFtheDFfollowingDFbestDFdefinesDFtheDFelementsDFofDFtheDFFIFEDFmodel?:DFa.
DFFocus,DFintensity,DFfunction,DFandDFevaluation
b. Facts,DFintensity,DFfocus,DFandDFevidence
c. Feelings,DFideas,DFfunction,DFandDFexpectations
d. Feelings,DFimpression,DFfantasy,DFandDFemotion
e. Facts,DFintelligence,DFfortuity,DFandDFeventuality
6. ChapterD F 2:
7. ADF39-year-oldDFnurseDFwhoDFisDFaDFwell-
establishedDFpatientDFcomplainsDFofDFirregularDFmenstrualDFperiodsDFandDFpelvicDFpain
.DFSheDFsaysDFthatDFsheDFisDFhavingDFtroubleDFsleepingDFandDFasksDFwhetherDFsheDF
couldDFbeDFgivenDFaDF"sleepingDFpill."DFTheDFpatientDFalsoDFsaysDFsheDFisDFthinki
ngDFofDFleavingDFherDFjob.DFWhatDFisDFtheDFbestDF"nextDFstep"DFinDFcaringDFforD
FthisDFpatient?:DFa.DFPerformDFaDFpelvicDFexamination.
b. ObtainDFaDFurineDFsampleDFforDFtesting.
c. ObtainDFaDFmoreDFcompleteDFdescriptionDFofDFproblems.
d. ObtainDFbloodDFforDFtesting.
, NRD F 509D F Mid-
TermD F StudyD F Questions
e. AskDFaboutDFrecentDFtravelDFdestinations.
TermD F StudyD F Questions
1. ChapterDF1:DF...
2. 1.DFADF23-year-
oldDFphysicianDFassistantDF(PA)DFstudentDFfoundDFthatDFsheDFfeltDFnervousDFwhenDFcall
edDFuponDFtoDFexamineDFmenDFinDFherDFageDFgroup.DFOnDFoneDFoccasion,DFsheDFen-
counteredD F aD F youngD F maleD F patientD F whoD F appearedD F embarrassedD F toD F seeD F her
D F walkDFintoDFtheDFroom.DFWhatDFshouldDFtheDFPADFdoDFtoDFminimizeDFtheirDFmutu
alDFdiscomfort?:DFa.DFAdjustDFlightingDFsoDFitDFisDFtangentialDFtoDFtheDFpatient'sDFbody.
b. ExplainDFhowDFtheDFexaminationDFwillDFproceed.
c. AskDFtheDFpatientDFwhereDFheDFcomesDFfrom.
d. ExplainDFthatDFsheDFisDFaDFPADFstudent.
e. ProvideDFongoingDFinterpretationDFofDFfindings.
3. ADF34-year-
oldDFmaleDFwithDFaDFhistoryDFofDFcomplexDFsocialDFandDFmedicalDFneedsDF(includi
ngDFcurrentDFsubstanceDFabuse)DFpresentsDFtoDFaDFprimaryDFcareDFteachingDFclinic.DF
TheD F patientD F hasD F experiencedD F aD F numberD F ofD F adversarialD F relationshipsD F wi
thD F pri-
orDFclinicians,DFincludingDFvoluntarilyDFleavingDFtwoDFpracticesDFwithinDFtheDFprevio
usDFyearDFandDFbeingDFaskedDFtoDFleaveDFcareDFatDFaDFthirdDFclinicDFdueDFtoDF
misbehavior.DFTheDFattendingDFphysicianDFdesiresDFtoDFutilizeDFtheDFapproachesDFto
DFthisDFpatientDFthatDFareDFmostDFlikelyDFleadDFtoDFcomprehensiveDFcareDFandDFpa
tientDFcompliance.DFWhichDFofDFtheDFfollowingD F isD F theD F mostD F appropriateD F int
erviewD F styleD F forD F theD F attendingD F physicianDFtoD F use?:D F a.DFFocusingDFonDFtheDFneedDFfo
rDFimmediateDFdiagnosticDFcertaintyDFoverDFpersonalDFconnection
b. TakingDFchargeDFofDFtheDFinteractionDFtoDFmeetDFtheDFclinician'sDFdesireDFtoDFacquireDFdiagnosticDFinformation
c. FollowingDFtheDFpatient'sDFleadDFtoDFunderstandDFtheirDFthoughts,DFideas,DFconcerns,DFandDFrequests
d. DeferringDFrespect,DFempathy,DFhumility,DFandDFsensitivityDFinDFfavorDFofDFtheDFacquisitionDFofDFconcreteDFdetailsDFaboutDFtheDFpatie
nt'sDFcondition
e. TakingDFaDFsymptom-focusedDFapproachDFtoDFreduceDFtheDFinvolvementDFofDFtheDFpatient'sDFemotionalDFdiflculties
4. ADF17-year-
oldDFmaleDFpresentsDFtoDFaDFsexuallyDFtransmittedDFdiseaseDFclinicDFatDFtheDFbeh
estD F ofD F hisD F brother,D F whoD F convincedD F theD F patientD F toD F attendD F theD F cli
nicD F afterDFheDFdisclosedDFthatDFheDFprefersDFhomosexualDFpartnersDFbutDFisD
FafraidDFthatDFhisDFlast
partnerD F mayD F haveD F givenD F himD F anD F infection.D F TheD F patientD F expressesD F toD
, NRD F 509D F Mid-
TermD F StudyD F Questions
F theD F intakeDFnurseD F thatD F heD F isD F unashamedD F ofD F hisD F sexualD F orientationD F an
dD F willD F notD F stayD F throughDFtheDFvisitDFifDFheDFfeelsDFthatDFheDFisDFdismissed
DForDFdiscriminatedDFagainstDFbecauseDFofDFit.DFTheDFnurseDFpractitionerDFreceive
sDFthisDFcommunicationDFpriorDFtoDFenteringDFtheDFexaminationD F roomD F andD F dec
idesD F toD F employD F activeD F listeningD F toD F bestD F connectD F with
, NRD F 509D F Mid-
TermD F StudyD F Questions
theD F patientD F atD F thisD F criticalD F junctureD F inD F hisD F careD F withD F theD F clinic.D F W
hichD F ofD F theDFfollowingDFisDFanDFexampleDFofDFanDFactiveDFlisteningDFtechnique?:D F a.DFIgn
oringDFvisualDFcuesDFtoDFfocusDFonDFtheDFpatient'sDFexactDFwords
b. SettingDFasideDFtheDFpatient'sDFemotionalDFstateDFtoDFfocusDFonDFhisDFmedicalDFneeds
c. ParingDFdownDFtheDFpatient'sDFconcernsDFtoDFconcreteDFmedicalDFneeds
d. UsingDFnonverbalDFcommunicationDFtoDFencourageDFtheDFpatientDFtoDFexpandDFtheirDFnarrative
e. ConsideringDFaDFditterentialDFdiagnosisDFwhileDFtheDFpatientDFisDFspeakingDFtoDFmaximizeDFtheDFpatient'sDFtimeDFwithD
FtheDFprovider
5. ADF42-year-oldDFfemaleDFmathematicianDFpresentsDFforDFfollow-
upDFcareDFregardingDFaDFnewDFdiagnosisDFofDFsystemicDFlupusDFerythematosusDF6D
FmonthsDFagoDFafterDFaDFlengthyDFdiagnosticDFprocessDFduringDFwhichDFsheDFwasD
FdebilitatedDFwithDFfatigueDFandDFjointD F pain.DFSinceDFherDFdiagnosis,DFsheDFhasDF
beenDFminimallyDFcompliantDFwithDFmedicationsDFandDFhasDFswitchedDFherDFrheumat
ologyDFproviderDFtwice.DFSheDFcontinuesDFtoDFfeelDFill,DFand,DFinDFexplanationDFfo
rDFherDFlackDFofDFadherenceDFtoDFtheDFprescribedDFtreatment,DFsheDFsimplyDFsays,
DF"IDFdon'tDFlikeDFit."DFAtDFthisDFinitialDFvisitDFwithDFherDFthirdDFrheumatologyD
F provider,DFtheDFclinicianDFelectsDFtoDFexploreDFtheDFissuesDFbehindDFherDFnoncom
plianceDFbeforeDFengagingDFinDFdiagnosticsDFandDFtreatmentDFusingDFtheDFFIFEDFmo
del.DFWhichDFofDFtheDFfollowingDFbestDFdefinesDFtheDFelementsDFofDFtheDFFIFEDFmodel?:DFa.
DFFocus,DFintensity,DFfunction,DFandDFevaluation
b. Facts,DFintensity,DFfocus,DFandDFevidence
c. Feelings,DFideas,DFfunction,DFandDFexpectations
d. Feelings,DFimpression,DFfantasy,DFandDFemotion
e. Facts,DFintelligence,DFfortuity,DFandDFeventuality
6. ChapterD F 2:
7. ADF39-year-oldDFnurseDFwhoDFisDFaDFwell-
establishedDFpatientDFcomplainsDFofDFirregularDFmenstrualDFperiodsDFandDFpelvicDFpain
.DFSheDFsaysDFthatDFsheDFisDFhavingDFtroubleDFsleepingDFandDFasksDFwhetherDFsheDF
couldDFbeDFgivenDFaDF"sleepingDFpill."DFTheDFpatientDFalsoDFsaysDFsheDFisDFthinki
ngDFofDFleavingDFherDFjob.DFWhatDFisDFtheDFbestDF"nextDFstep"DFinDFcaringDFforD
FthisDFpatient?:DFa.DFPerformDFaDFpelvicDFexamination.
b. ObtainDFaDFurineDFsampleDFforDFtesting.
c. ObtainDFaDFmoreDFcompleteDFdescriptionDFofDFproblems.
d. ObtainDFbloodDFforDFtesting.
, NRD F 509D F Mid-
TermD F StudyD F Questions
e. AskDFaboutDFrecentDFtravelDFdestinations.
