nr509 midterm ALL VERSIONS 2025 |
LATEST AND ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS
| VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE
Dealing with a patient giving a confusing narrative, what is the best approach?
A) Interrupt the patient and redirect the conversation
B) Assess why the narrative is confusing (patient’s style vs underlying communication
issue) and guide the interview into psychosocial assessment
C) Ignore the confusion and continue with the physical exam
D) Refer the patient to another provider immediately
Correct Answer: B
Rationale: It is important to understand whether the confusing narrative stems from the
patient’s communication style or an underlying issue, then gently guide the interview to
explore psychosocial aspects.
When dealing with a patient with an altered state of cognition, what should you
do?
A) Obtain history only from the patient regardless of cognition
B) Obtain history from other sources such as family or caregiver, and avoid giving out
patient information unless they are the healthcare proxy
C) Ignore history taking and focus only on physical exam
D) Provide the patient’s information freely to anyone who asks
Correct Answer: B
Rationale: Patients with altered cognition may not provide reliable histories, so
collateral information from caregivers or family is essential while respecting privacy
laws.
How should a healthcare provider respond to a patient exhibiting emotional
lability?
A) Ignore the emotional expressions and move on
B) Pause, gently probe, respond with empathy, and offer supportive remarks such as
“I’m glad you were able to express your feelings”
C) Tell the patient to control their emotions
D) Quickly finish the assessment to avoid discomfort
Correct Answer: B
Rationale: Responding empathetically and providing support helps patients feel
understood and safe to express emotions.
,What is the appropriate way to handle an angry or aggressive patient?
A) Stay calm, avoid confrontation, acknowledge the situation, make amends, validate
feelings without agreeing to reasons, and alert security if necessary
B) Argue with the patient to correct them
C) Ignore the patient's feelings and continue the exam
D) Immediately call the police
Correct Answer: A
Rationale: De-escalation involves calmness, validating feelings, and safety measures
without confrontation.
How should you manage a flirtatious patient?
A) Respond with similar flirtation
B) Calmly and firmly set boundaries about the professional nature of the relationship,
and get a chaperone if needed
C) Avoid the patient entirely
D) Report the patient to administration immediately
Correct Answer: B
Rationale: Maintaining professionalism and setting clear boundaries helps preserve the
therapeutic relationship.
When dealing with a discriminatory patient, what is the best approach?
A) Confront the patient about their discrimination
B) Assess the acuity of the illness, cultivate a therapeutic alliance with supervisor
support, and maintain a supportive environment
C) Refuse to treat the patient
D) Ignore the discrimination
Correct Answer: B
Rationale: Patient care should be prioritized while managing discrimination with
professional support.
What is the best way to communicate with a patient who has hearing loss or is
deaf?
A) Speak loudly and slowly without concern for the patient’s preferences
B) Ask the patient’s preferred method of communication, use normal volume and rate,
allow lip reading, and use the touch-back method to confirm understanding
C) Write everything down only
D) Use sign language without checking patient’s comfort
Correct Answer: B
Rationale: Respecting patient preferences and using multiple communication strategies
improves understanding.
How do you handle a nonadherent patient?
A) Punish the patient for noncompliance
B) Assess factors such as socioeconomic issues, cognition, and cultural beliefs; provide
, informative handouts, reminders, and simplify treatment regimens
C) Ignore the nonadherence and continue treatment
D) Blame the patient for poor outcomes
Correct Answer: B
Rationale: Understanding barriers and tailoring support promotes adherence and better
health outcomes.
What is the correct format of a health history?
A) Chief complaint only
B) Initial information, chief complaint, history of present illness, past medical history,
family history, personal and social history, review of systems
C) Physical exam and lab data only
D) Review of systems and lab data only
Correct Answer: B
Rationale: A comprehensive health history includes all these components for thorough
assessment.
When is a comprehensive health history typically performed?
A) Every visit regardless of reason
B) New patient establishment or first encounter
C) Only during emergencies
D) For follow-up visits only
Correct Answer: B
Rationale: Comprehensive history is done at the first visit to gather baseline
information.
When is a focused health history most appropriate?
A) New patient establishment
B) Returning patients for routine care or patients with specific urgent concerns
C) Emergencies only
D) When the patient refuses to cooperate
Correct Answer: B
Rationale: Focused history targets specific complaints or routine follow-up, saving time
while obtaining necessary info.
What key factors influence the adjustment of the scope of a health history?
A) Magnitude/severity of patient’s problem, need for thoroughness, clinical setting, time
available
B) Provider's mood only
C) Patient's age only
D) None of the above
Correct Answer: A
Rationale: These factors guide how detailed the history should be.
LATEST AND ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS
| VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE
Dealing with a patient giving a confusing narrative, what is the best approach?
A) Interrupt the patient and redirect the conversation
B) Assess why the narrative is confusing (patient’s style vs underlying communication
issue) and guide the interview into psychosocial assessment
C) Ignore the confusion and continue with the physical exam
D) Refer the patient to another provider immediately
Correct Answer: B
Rationale: It is important to understand whether the confusing narrative stems from the
patient’s communication style or an underlying issue, then gently guide the interview to
explore psychosocial aspects.
When dealing with a patient with an altered state of cognition, what should you
do?
A) Obtain history only from the patient regardless of cognition
B) Obtain history from other sources such as family or caregiver, and avoid giving out
patient information unless they are the healthcare proxy
C) Ignore history taking and focus only on physical exam
D) Provide the patient’s information freely to anyone who asks
Correct Answer: B
Rationale: Patients with altered cognition may not provide reliable histories, so
collateral information from caregivers or family is essential while respecting privacy
laws.
How should a healthcare provider respond to a patient exhibiting emotional
lability?
A) Ignore the emotional expressions and move on
B) Pause, gently probe, respond with empathy, and offer supportive remarks such as
“I’m glad you were able to express your feelings”
C) Tell the patient to control their emotions
D) Quickly finish the assessment to avoid discomfort
Correct Answer: B
Rationale: Responding empathetically and providing support helps patients feel
understood and safe to express emotions.
,What is the appropriate way to handle an angry or aggressive patient?
A) Stay calm, avoid confrontation, acknowledge the situation, make amends, validate
feelings without agreeing to reasons, and alert security if necessary
B) Argue with the patient to correct them
C) Ignore the patient's feelings and continue the exam
D) Immediately call the police
Correct Answer: A
Rationale: De-escalation involves calmness, validating feelings, and safety measures
without confrontation.
How should you manage a flirtatious patient?
A) Respond with similar flirtation
B) Calmly and firmly set boundaries about the professional nature of the relationship,
and get a chaperone if needed
C) Avoid the patient entirely
D) Report the patient to administration immediately
Correct Answer: B
Rationale: Maintaining professionalism and setting clear boundaries helps preserve the
therapeutic relationship.
When dealing with a discriminatory patient, what is the best approach?
A) Confront the patient about their discrimination
B) Assess the acuity of the illness, cultivate a therapeutic alliance with supervisor
support, and maintain a supportive environment
C) Refuse to treat the patient
D) Ignore the discrimination
Correct Answer: B
Rationale: Patient care should be prioritized while managing discrimination with
professional support.
What is the best way to communicate with a patient who has hearing loss or is
deaf?
A) Speak loudly and slowly without concern for the patient’s preferences
B) Ask the patient’s preferred method of communication, use normal volume and rate,
allow lip reading, and use the touch-back method to confirm understanding
C) Write everything down only
D) Use sign language without checking patient’s comfort
Correct Answer: B
Rationale: Respecting patient preferences and using multiple communication strategies
improves understanding.
How do you handle a nonadherent patient?
A) Punish the patient for noncompliance
B) Assess factors such as socioeconomic issues, cognition, and cultural beliefs; provide
, informative handouts, reminders, and simplify treatment regimens
C) Ignore the nonadherence and continue treatment
D) Blame the patient for poor outcomes
Correct Answer: B
Rationale: Understanding barriers and tailoring support promotes adherence and better
health outcomes.
What is the correct format of a health history?
A) Chief complaint only
B) Initial information, chief complaint, history of present illness, past medical history,
family history, personal and social history, review of systems
C) Physical exam and lab data only
D) Review of systems and lab data only
Correct Answer: B
Rationale: A comprehensive health history includes all these components for thorough
assessment.
When is a comprehensive health history typically performed?
A) Every visit regardless of reason
B) New patient establishment or first encounter
C) Only during emergencies
D) For follow-up visits only
Correct Answer: B
Rationale: Comprehensive history is done at the first visit to gather baseline
information.
When is a focused health history most appropriate?
A) New patient establishment
B) Returning patients for routine care or patients with specific urgent concerns
C) Emergencies only
D) When the patient refuses to cooperate
Correct Answer: B
Rationale: Focused history targets specific complaints or routine follow-up, saving time
while obtaining necessary info.
What key factors influence the adjustment of the scope of a health history?
A) Magnitude/severity of patient’s problem, need for thoroughness, clinical setting, time
available
B) Provider's mood only
C) Patient's age only
D) None of the above
Correct Answer: A
Rationale: These factors guide how detailed the history should be.
