NR 509 Midterm Exam 2026-2027 ACRUAL EXAM
WITH COMPLETE QUESTIONS AND 100% CORRECT
DETAILED ANSWERS|ALREADY GRADED A+|BRAND
NEW!!
A 38-year-old accountant presents to the office with a
series of generalized complaints. He relates that he feels a
loss of pleasure in daily activities, has difficulty sleeping,
and is experiencing problems making decisions. Which of
the following best explains the patient's presentation?
a. Substance abuse with anhedonia
b. Bipolar disorder in the early pre-excitatory phase
c. Histrionic personality
d. Depression
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e. Antisocial personality - ANSWER-d. Depression
A 29-year-old female professional athlete presents to a
new primary care provider with chronic menstrual
complaints. She remarks to the nursing staff that, in the
past, she has experienced a dismissal of her complaints
because of her high level of physical fitness and
conditioning. She is seeking a care provider who will
explore the issue in more detail and work with her
particular concerns. Which of the following is the
description of the patient-centered care this individual
seeks?
a. Structured and clinician-centered with open-ended
questions
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b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
e. Factual and structured with active listening - ANSWER-
b. Validating and empathetic with open-ended questions
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
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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 -
ANSWER-b. Recognizing the patient's emotions by asking
or confirming how she feels about the event
A 63-year-old male presents to establish care at a new
primary care clinic to discuss issues with pain and fatigue.