1. A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the
office that returns negative. You would document this finding in which of the following sections
of the ecounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER D. Objective Data
2. A patient you are seeing for the first time in your office, brings their previous medical records
for the review. you would document a summer of the previous medical records in which of the
following sections of the encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER C. Subjective Data
3. The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of symptoms
C. incorporate the ROS during the physical exam, stopping to make notes as necessary
D. Start with general questions on each of the different body systems - CORRECT ANSWER D. start with
general question on each of the different body systems
4. The NP can determine higher cognitive function by asking the patient to perform which of the
following tasks?
A. Explain the meaning of a proverb
B. Identify the day of the week, month, season, date and year
C. Recall details of historical events
D. Spell a five-letter word such as WORLD backword - CORRECT ANSWER A. Explain the meaning of a
proverb
5. The NP will ask the patient which of the following questions to assess for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in doing things?
C. Over the past two weeks have you been unable to stop or control worrying?
D. How often do you have contact with those that you care about or care about you? - CORRECT
ANSWER B. Over the past two weeks have you felt little interest or pleasure in doing things?
6. The NP will document the reason for visit in which of the following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER B. CC
7. The primary care provider will anticipate that what percent of outpatients have mental health
disorders?
A. 10%
B. 15 %
C. 20%
d. 25% - CORRECT ANSWER c. 20%
8. Which of the following actions by the NP demonstrations patient-centered interviewing
techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - CORRECT ANSWER A. A. Determine the
personal context of the patients symptoms
9. Which of the following strategies is most effective when dealing with an angry or disruptive
patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. - CORRECT ANSWER D. Validate
the patients feelings without agreeing with their reasons
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