NR509 Final Exam: Questions & Answers: Latest
Updated :Guaranteed A+ Guide
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? - ANSWERExplain 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? - ANSWERFollowing 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?
- ANSWERUsing 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? - ANSWERFeelings, 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? -
ANSWERObtain 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? -
ANSWERValidating 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 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? - ANSWERRecognizing 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. The clinician conducting the visit begins with general
historical questions but quickly becomes suspicious that the patient is suffering from
decompensated heart failure. When the patient mentions that he has had vague
chest pain since last night, the clinician feels that the focus must be redirected to this
potentially emergent condition. Which of the following interview techniques is the
most appropriate to effectively manage this visit? - ANSWERMoving from open-
ended to focused questions
A 59-year-old patient presents to his primary care provider with a history of several
episodes of sharp epigastric pain. His father died of pancreatic cancer at age 52
years, and the patient recalls to the clinician that, "His pain was just like mine is
now ..." The patient then pauses several seconds. The clinician replies, "Just like?"
after which the patient restarts his narrative. Which of the following is an example of
the interviewing techniques employed by the clinician? - ANSWEREchoing
A 14-year-old male presents to a new primary care provider after his family relocates
to a state. The patient underwent treatment for sarcoma when he was age 11 years,
including an above-the-knee amputation. He has learned to successfully navigate
with a prosthetic leg and even engage in competitive athletics at school. He does not
like to speak of his experience with cancer and often makes up humorous stories to
tell new acquaintances about his amputation (such as, "I got bit by a squirrel and
they had to amputate."). Although he is very well engaged in most of the visit with
the new clinician, when the topic of cancer arises, he demurs to his father, who
Updated :Guaranteed A+ Guide
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? - ANSWERExplain 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? - ANSWERFollowing 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?
- ANSWERUsing 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? - ANSWERFeelings, 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? -
ANSWERObtain 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? -
ANSWERValidating 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 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? - ANSWERRecognizing 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. The clinician conducting the visit begins with general
historical questions but quickly becomes suspicious that the patient is suffering from
decompensated heart failure. When the patient mentions that he has had vague
chest pain since last night, the clinician feels that the focus must be redirected to this
potentially emergent condition. Which of the following interview techniques is the
most appropriate to effectively manage this visit? - ANSWERMoving from open-
ended to focused questions
A 59-year-old patient presents to his primary care provider with a history of several
episodes of sharp epigastric pain. His father died of pancreatic cancer at age 52
years, and the patient recalls to the clinician that, "His pain was just like mine is
now ..." The patient then pauses several seconds. The clinician replies, "Just like?"
after which the patient restarts his narrative. Which of the following is an example of
the interviewing techniques employed by the clinician? - ANSWEREchoing
A 14-year-old male presents to a new primary care provider after his family relocates
to a state. The patient underwent treatment for sarcoma when he was age 11 years,
including an above-the-knee amputation. He has learned to successfully navigate
with a prosthetic leg and even engage in competitive athletics at school. He does not
like to speak of his experience with cancer and often makes up humorous stories to
tell new acquaintances about his amputation (such as, "I got bit by a squirrel and
they had to amputate."). Although he is very well engaged in most of the visit with
the new clinician, when the topic of cancer arises, he demurs to his father, who
