NR 509 MIDTERM EXAM | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS
2026 -2027 LATEST UPDATED | GET A+
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. - (Answer)b. Explain how the examination will
proceed.
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, - (Answer)c. Following the patient's lead to understand their
thoughts, ideas, concerns, and requests
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 - (Answer)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 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 - (Answer)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. - (Answer)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?
a. Structured and clinician-centered with open-ended questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
2026 -2027 LATEST UPDATED | GET A+
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. - (Answer)b. Explain how the examination will
proceed.
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, - (Answer)c. Following the patient's lead to understand their
thoughts, ideas, concerns, and requests
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 - (Answer)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 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 - (Answer)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. - (Answer)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?
a. Structured and clinician-centered with open-ended questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
