Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
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, - (ANSWERS)c. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests
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?
, Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
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 - (ANSWERS)b.
Recognizing the patient's emotions by asking or confirming how she feels about the
event
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 appeara -
(ANSWERS)c. Both of these eating disorders are associated with a real or imagined
fear of appearing fat.
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?
, Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
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. - (ANSWERS)b. Explain how the
examination will proceed.
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
B. Setting aside the patient's emotional state to focus on his medical needs
C. Paring down the patient's conce - (ANSWERS)d. Using nonverbal
communication to encourage the patient to expand their narrative
A 42-year-old female mathematician presents for follow-up care regarding a new
diagnosis of systemic lupus erythematosus 6 months ago after a lengthy diagnostic
process during which she was debilitated with fatigue and joint pain. Since her
diagnosis, she has been minimally compliant with medications and has switched her
rheumatology provider twice. She continues to feel ill, and, in explanation for her
lack of adherence to the prescribed treatment, she simply says, "I don't like it." At
this initial visit with her third rheumatology provider, the clinician elects to explore
, Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
the issues behind her noncompliance before engaging in diagnostics and treatment
using the FIFE model. Which of the following best defines the elements of the FIFE
model?
A. Focus, intensity, function, and evaluation
B. Facts, intensity, focus, and evidence
C. Feelings, ideas, function, and expectations
D. Feelings, impression, fantasy, and em - (ANSWERS)c. Feelings, ideas, function,
and expectations
A 39-year-old nurse who is a well-established patient complains of irregular
menstrual periods and pelvic pain. She says that she is having trouble sleeping and
asks whether she could be given a "sleeping pill." The patient also says she is
thinking of leaving her job. What is the best "next step" in caring for this patient?
A. Perform a pelvic examination.
B. Obtain a urine sample for testing.
C. Obtain a more complete description of problems.
D. Obtain blood for testing.
E. Ask about recent travel destinations. - (ANSWERS)c. Obtain a more complete
description of problems.
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?
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
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, - (ANSWERS)c. Following the patient's lead to
understand their thoughts, ideas, concerns, and requests
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?
, Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
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 - (ANSWERS)b.
Recognizing the patient's emotions by asking or confirming how she feels about the
event
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 appeara -
(ANSWERS)c. Both of these eating disorders are associated with a real or imagined
fear of appearing fat.
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?
, Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
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. - (ANSWERS)b. Explain how the
examination will proceed.
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
B. Setting aside the patient's emotional state to focus on his medical needs
C. Paring down the patient's conce - (ANSWERS)d. Using nonverbal
communication to encourage the patient to expand their narrative
A 42-year-old female mathematician presents for follow-up care regarding a new
diagnosis of systemic lupus erythematosus 6 months ago after a lengthy diagnostic
process during which she was debilitated with fatigue and joint pain. Since her
diagnosis, she has been minimally compliant with medications and has switched her
rheumatology provider twice. She continues to feel ill, and, in explanation for her
lack of adherence to the prescribed treatment, she simply says, "I don't like it." At
this initial visit with her third rheumatology provider, the clinician elects to explore
, Midterm Exam: NR509 / NR-509 (Latest ) Advanced
Physical Assessment | Study Questions and Answers | 100%
Correct | Grade A+ - Chamberlain
the issues behind her noncompliance before engaging in diagnostics and treatment
using the FIFE model. Which of the following best defines the elements of the FIFE
model?
A. Focus, intensity, function, and evaluation
B. Facts, intensity, focus, and evidence
C. Feelings, ideas, function, and expectations
D. Feelings, impression, fantasy, and em - (ANSWERS)c. Feelings, ideas, function,
and expectations
A 39-year-old nurse who is a well-established patient complains of irregular
menstrual periods and pelvic pain. She says that she is having trouble sleeping and
asks whether she could be given a "sleeping pill." The patient also says she is
thinking of leaving her job. What is the best "next step" in caring for this patient?
A. Perform a pelvic examination.
B. Obtain a urine sample for testing.
C. Obtain a more complete description of problems.
D. Obtain blood for testing.
E. Ask about recent travel destinations. - (ANSWERS)c. Obtain a more complete
description of problems.
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?
