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NR 509 MIDTERM EXAM A, B & C NEWEST WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST UPDATE JUST RELEASED THIS
YEAR
NR 509 MIDTERM EXAM A
Question: 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.
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Question: 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
e. Factual and structured with active listening - ANSWER✔✔b. Validating and empathetic with
open-ended questions
Question: 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
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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?
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 - ANSWER✔✔b. Recognizing the
patient's emotions by asking or confirming how she feels about the event
Question: 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?
a. Providing serial reassurances such as, "Don't worry, you're going to be fine."
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b. Asking a series of negative questions such as, "You don't have any swelling in your feet, do
you?"
c. Nonverbally cuing the patient to focus on his narrative regarding a motor vehicle accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the presumed diag - ANSWER✔✔f. Moving from open-
ended to focused questions
Question: 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?
a. Clarifying
b. Echoing
c. Encouraging with continuers d. Eliciting a graded response
e. Asking a leading question - ANSWER✔✔b. Echoing
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SUCCESS!
NR 509 MIDTERM EXAM A, B & C NEWEST WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST UPDATE JUST RELEASED THIS
YEAR
NR 509 MIDTERM EXAM A
Question: 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.
1
SUCCESS!
,Page 2 of 231
Question: 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
e. Factual and structured with active listening - ANSWER✔✔b. Validating and empathetic with
open-ended questions
Question: 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
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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?
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 - ANSWER✔✔b. Recognizing the
patient's emotions by asking or confirming how she feels about the event
Question: 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?
a. Providing serial reassurances such as, "Don't worry, you're going to be fine."
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b. Asking a series of negative questions such as, "You don't have any swelling in your feet, do
you?"
c. Nonverbally cuing the patient to focus on his narrative regarding a motor vehicle accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the presumed diag - ANSWER✔✔f. Moving from open-
ended to focused questions
Question: 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?
a. Clarifying
b. Echoing
c. Encouraging with continuers d. Eliciting a graded response
e. Asking a leading question - ANSWER✔✔b. Echoing
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