nr509 midterm exam 2026 Questions and
Answers
is the clinical encounter clinician-centered to patient-centered - Correct answer-
both; needs to be a balance of the clinician meeting their needs of the interaction
and the patient feeling heard and create personal dimension
patient-centered approach - Correct answer-Interviewing technique empowering
the patient to provide a candid and complete medical history
recognizes importance of patient concerns, feelings and emotions and understands
the patients personal contact of the symptoms/disease
FIFE model - Correct answer-mnemonic for patients perspective on the illness
Feelings (fears and concerns about the problem)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations
general structure of patient encounter (5 steps) - Correct answer-initiate the
encounter
gather information
perform the physical examination
explaining and planning
closing the encounter
2 frameworks that continue throughout whole clinical encounter - Correct answer-
relationship building
structuring the interview
what happens while initiating the encounter - Correct answer-greet the patient and
set the stage/preparation
what does it mean to set the stage - Correct answer-prepare for the interview
check your appearance
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,make sure patient is comfortable and environment is conducive to private info
being shared
what happens during the gathering information stage - Correct answer-initiate
information gathering
history of present illness
past medical history
social history
explore patients perspective of disease and relevant background information
what happens during explaining and planning - Correct answer-provide correct
amount and type of information
negotiate plan of action
shared decision making
when asking patient about there pronouns it may be helpful to.... - Correct answer-
share your own pronouns
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, "in an effort to promote an inclusive and respectful environment, we use pronouns
that are right for us. The pronouns I prefer are......how about you what pronouns do
you prefer?
the initial moments of your encounter lay the foundation for.... - Correct answer-
your ongoing relationship
how to establish rapport - Correct answer-introduce yourself, explain your role and
how you will be a part of their care
3 dimensions of cultural humility - Correct answer-1) Self-awareness
2) Respectful communication
3) Collaborative partnerships
active listening - Correct answer-Closely listening to what the patient is
communicating, connecting on an emotional state to the patient.
use both verbal and nonverbal skills to encourage pt to expand on their
feelings/concerns
Empathetic responses - Correct answer-capacity to identify with a patient and feel
patients pain as your own and respond in a supportive manner
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Answers
is the clinical encounter clinician-centered to patient-centered - Correct answer-
both; needs to be a balance of the clinician meeting their needs of the interaction
and the patient feeling heard and create personal dimension
patient-centered approach - Correct answer-Interviewing technique empowering
the patient to provide a candid and complete medical history
recognizes importance of patient concerns, feelings and emotions and understands
the patients personal contact of the symptoms/disease
FIFE model - Correct answer-mnemonic for patients perspective on the illness
Feelings (fears and concerns about the problem)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations
general structure of patient encounter (5 steps) - Correct answer-initiate the
encounter
gather information
perform the physical examination
explaining and planning
closing the encounter
2 frameworks that continue throughout whole clinical encounter - Correct answer-
relationship building
structuring the interview
what happens while initiating the encounter - Correct answer-greet the patient and
set the stage/preparation
what does it mean to set the stage - Correct answer-prepare for the interview
check your appearance
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,make sure patient is comfortable and environment is conducive to private info
being shared
what happens during the gathering information stage - Correct answer-initiate
information gathering
history of present illness
past medical history
social history
explore patients perspective of disease and relevant background information
what happens during explaining and planning - Correct answer-provide correct
amount and type of information
negotiate plan of action
shared decision making
when asking patient about there pronouns it may be helpful to.... - Correct answer-
share your own pronouns
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, "in an effort to promote an inclusive and respectful environment, we use pronouns
that are right for us. The pronouns I prefer are......how about you what pronouns do
you prefer?
the initial moments of your encounter lay the foundation for.... - Correct answer-
your ongoing relationship
how to establish rapport - Correct answer-introduce yourself, explain your role and
how you will be a part of their care
3 dimensions of cultural humility - Correct answer-1) Self-awareness
2) Respectful communication
3) Collaborative partnerships
active listening - Correct answer-Closely listening to what the patient is
communicating, connecting on an emotional state to the patient.
use both verbal and nonverbal skills to encourage pt to expand on their
feelings/concerns
Empathetic responses - Correct answer-capacity to identify with a patient and feel
patients pain as your own and respond in a supportive manner
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
