NR509 2025-2026 update/NR509 / NR 509 Midterm Exam (Latest ):
Advanced Physical Assessment - Chamberlain/GET IT 100% ACCURATE!
/GRADED A+
1. 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
c. Following the patient's lead to understand their thoughts, ideas, concerns, and
requests
d. Deferring respect, empathy,
ANS: c. Following the patient's lead to understand their thoughts, ideas, concerns, and
requests
2. A 36-year-old female air traffic controller presents to her primary care provider for a
,routine visit 3 months after losing her spouse to a lengthy battle with a
neurodegenerative disease. The patient denies any psychiatric symptoms on review of
systems and, in fact, states that she has slept better in the last month than she had in
the previous years. She endorses a healthy support system, including the extended
family of her deceased spouse, with whom she is still close. She becomes wistful and
briefly tearful when speaking of the plans that they had when they first married that
were never fulfilled; she then changes the subject rapidly to whether her Pap smear is
due. Which of the following is an example of an empathetic response to this patient?
a. Assuming that the event caused her to become depressed and expressing the same
feeling on behalf of the patient
b. Recognizing the patient's emotions by asking or con
ANS: b. Recognizing the patient's emotions by asking or confirming how she feels
about the event
3. A 19-year-old student of art history presents to clinic after a syncopal (fainting)
episode at school. He is notably thin; on a thorough review of his medical history, he
admits that he eats only minimally to maintain a very low body weight that he feels is
ideal. He is embarrassed that his issues were
,discussed by peers after this episode, especially because he believes that this is a problem
that is only faced by girls and women. Concerning the two most common eating
disorders (anorexia nervosa and bulimia nervosa), which of the following statements is
true?
a. Men and women are both afflicted, but with a female:male prevalence ratio
estimated at ~2:1.
b. Both of these eating disorders are associated with a body mass index (BMI) of <17.5.
c. Both of these eating disorders are associated with a real or imagined fear of
appearing fat.
d. Persons with eating disorders are generally easily identified by their ap- peara
ANS: c. Both of these eating disorders are associated with a real or imagined fear of
appearing fat.
4. 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.
, ANS: b. Explain how the examination will proceed.
5. 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
Advanced Physical Assessment - Chamberlain/GET IT 100% ACCURATE!
/GRADED A+
1. 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
c. Following the patient's lead to understand their thoughts, ideas, concerns, and
requests
d. Deferring respect, empathy,
ANS: c. Following the patient's lead to understand their thoughts, ideas, concerns, and
requests
2. A 36-year-old female air traffic controller presents to her primary care provider for a
,routine visit 3 months after losing her spouse to a lengthy battle with a
neurodegenerative disease. The patient denies any psychiatric symptoms on review of
systems and, in fact, states that she has slept better in the last month than she had in
the previous years. She endorses a healthy support system, including the extended
family of her deceased spouse, with whom she is still close. She becomes wistful and
briefly tearful when speaking of the plans that they had when they first married that
were never fulfilled; she then changes the subject rapidly to whether her Pap smear is
due. Which of the following is an example of an empathetic response to this patient?
a. Assuming that the event caused her to become depressed and expressing the same
feeling on behalf of the patient
b. Recognizing the patient's emotions by asking or con
ANS: b. Recognizing the patient's emotions by asking or confirming how she feels
about the event
3. A 19-year-old student of art history presents to clinic after a syncopal (fainting)
episode at school. He is notably thin; on a thorough review of his medical history, he
admits that he eats only minimally to maintain a very low body weight that he feels is
ideal. He is embarrassed that his issues were
,discussed by peers after this episode, especially because he believes that this is a problem
that is only faced by girls and women. Concerning the two most common eating
disorders (anorexia nervosa and bulimia nervosa), which of the following statements is
true?
a. Men and women are both afflicted, but with a female:male prevalence ratio
estimated at ~2:1.
b. Both of these eating disorders are associated with a body mass index (BMI) of <17.5.
c. Both of these eating disorders are associated with a real or imagined fear of
appearing fat.
d. Persons with eating disorders are generally easily identified by their ap- peara
ANS: c. Both of these eating disorders are associated with a real or imagined fear of
appearing fat.
4. 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.
, ANS: b. Explain how the examination will proceed.
5. 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
