History & Interview – NP Board Practice
Questions
1. Which type of question allows the patient the greatest freedom in responding?
A. Leading question
B. Closed-ended question
C. Direct question
D. Open-ended question
✅ Answer: D. Open-ended question
Rationale: Open-ended questions encourage patients to explain concerns in their own words and
provide richer subjective data.
2. A patient states, “I just don’t feel like myself lately.” What is the BEST initial
response by the NP?
A. “Are you depressed?”
B. “Tell me more about that.”
C. “When did your symptoms begin?”
D. “Do you take antidepressants?”
✅ Answer: B. “Tell me more about that.”
Rationale: Facilitation encourages the patient to elaborate and supports patient-centered
communication.
3. Which communication technique is demonstrated when the NP says, “You
mentioned your chest pain worsens at night?”
A. Clarification
B. Reflection
C. Confrontation
D. Interpretation
✅ Answer: B. Reflection
Rationale: Reflection repeats or paraphrases what the patient said to encourage further
discussion.
, 4. Which statement best describes patient-centered care?
A. The provider directs all treatment decisions
B. Treatment is based solely on evidence-based guidelines
C. Care respects the patient’s values, needs, and preferences
D. Patients should not question medical recommendations
✅ Answer: C. Care respects the patient’s values, needs, and preferences
Rationale: Patient-centered care focuses on respecting individual patient preferences and shared
decision-making.
5. The CAGE questionnaire is primarily used to screen for:
A. Depression
B. Domestic violence
C. Cognitive impairment
D. Alcohol misuse
✅ Answer: D. Alcohol misuse
Rationale: CAGE screens for alcoholism using the concepts of Cutting down, Annoyance, Guilt,
and Eye-openers.
6. Which screening tool is specifically designed for adolescents with possible
alcohol or substance abuse?
A. FICA
B. HITS
C. CRAFFT
D. TACE
✅ Answer: C. CRAFFT
Rationale: CRAFFT is validated for adolescent substance abuse screening.
7. A patient interview is MOST effective when the NP:
Questions
1. Which type of question allows the patient the greatest freedom in responding?
A. Leading question
B. Closed-ended question
C. Direct question
D. Open-ended question
✅ Answer: D. Open-ended question
Rationale: Open-ended questions encourage patients to explain concerns in their own words and
provide richer subjective data.
2. A patient states, “I just don’t feel like myself lately.” What is the BEST initial
response by the NP?
A. “Are you depressed?”
B. “Tell me more about that.”
C. “When did your symptoms begin?”
D. “Do you take antidepressants?”
✅ Answer: B. “Tell me more about that.”
Rationale: Facilitation encourages the patient to elaborate and supports patient-centered
communication.
3. Which communication technique is demonstrated when the NP says, “You
mentioned your chest pain worsens at night?”
A. Clarification
B. Reflection
C. Confrontation
D. Interpretation
✅ Answer: B. Reflection
Rationale: Reflection repeats or paraphrases what the patient said to encourage further
discussion.
, 4. Which statement best describes patient-centered care?
A. The provider directs all treatment decisions
B. Treatment is based solely on evidence-based guidelines
C. Care respects the patient’s values, needs, and preferences
D. Patients should not question medical recommendations
✅ Answer: C. Care respects the patient’s values, needs, and preferences
Rationale: Patient-centered care focuses on respecting individual patient preferences and shared
decision-making.
5. The CAGE questionnaire is primarily used to screen for:
A. Depression
B. Domestic violence
C. Cognitive impairment
D. Alcohol misuse
✅ Answer: D. Alcohol misuse
Rationale: CAGE screens for alcoholism using the concepts of Cutting down, Annoyance, Guilt,
and Eye-openers.
6. Which screening tool is specifically designed for adolescents with possible
alcohol or substance abuse?
A. FICA
B. HITS
C. CRAFFT
D. TACE
✅ Answer: C. CRAFFT
Rationale: CRAFFT is validated for adolescent substance abuse screening.
7. A patient interview is MOST effective when the NP:
