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HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS WITH ANSWERS.
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HESI PREP - HEALTH ASSESSMENT PRACTICEQUESTIONS WITH ANSWERS. 2023-2024
• In an interview, the nurse may find it necessary to take notes to aid his or
hermemory later. Which statement is true regarding note-taking?
• Note-taking may impede the nurse's observation of the patient's
nonverbalbehaviors.
• Note-taking allows the patient to continue at his or her own pace as the
nurserecords what is said.
• Note-taking allows the nurse to shift attention away from the patient, resulting in
anincreased comfort level.
• Note-taking allows the nurse to break eye contact with the patient, which may
increase his or her level of comfort. - correct answers: A) Note-taking may impede
thenurse's observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be aware
that note-taking during the interview has disadvantages. It breaks eye contact too often,
and it shifts attention away from the patient, which diminishes his or her sense
ofimportance. It also may interrupt the patient's narrative flow, and it impedes
the observation of the patient's nonverbal behavior.
• During an interview, the nurse states, "You mentioned shortness of breath. Tell
me more about that." Which verbal skill is used with this statement?
A) Reflection
B) Facilitation
• Direct question
• Open-ended question - correct answers: D) Open-ended question
,Page: 32 The open-ended question asks for narrative information. It states the topic to
be discussed but only in general terms. The nurse should use it to begin the interview, to
introduce a new section of questions, and whenever the person introduces a new topic.
• A nurse is taking complete health histories on all of the patients attending a
wellnessworkshop. On the history form, one of the written questions asks, "You
don't smoke, drink, or take drugs, do you?" This question is an example of:
A) talking too much.
B) using
confrontation.
• using biased or leading questions.
• using blunt language to deal with distasteful topics. - correct answers: C)
usingbiased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You don't
smoke, do you?" implies that one answer is "better" than another. If the person wants
toplease someone, he or she is either forced to answer in a way corresponding to
their implied values or is made to feel guilty when admitting the other answer.
4. During an interview, a parent of a hospitalized child is sitting in an open position. As
the interviewer begins to discuss his son's treatment, however, he suddenly crosses his
arms against his chest and crosses his legs. This would suggest that the parent is:
• just changing positions.
• more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - correct answers: D)
uncomfortabletalking about his son's treatment.
,Page: 37 Note the person's position. An open position with the extension of large
muscle groups shows relaxation, physical comfort, and a willingness to share
information. A closed position with the arms and legs crossed tends to look defensive
and anxious. Note any change in posture. If a person in a relaxed position suddenly
tenses, it suggests possible discomfort with the new topic.
5. The nurse is interviewing a patient who has a hearing impairment. What techniques
would be most beneficial in communicating with this patient?
• Determine the communication method he prefers.
• Avoid using facial and hand gestures because most hearing-impaired people find
thisdegrading.
• Request a sign language interpreter before meeting with him to help facilitate
thecommunication.
• Speak loudly and with exaggerated facial movement when talking with him
because this helps with lip reading. - correct answers: A) Determine the
communication method he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers lip reading,
then the nurse should be sure to face him or her squarely and have good lighting on
the nurse's face. The nurse should not exaggerate lip movements because this
distorts words. Similarly, shouting distorts the reception of a hearing aid the person
may wear. The nurse should speak slowly and should supplement his or her voice
with appropriate hand gestures or pantomime.
6. The nurse is performing a health interview on a patient who has a language barrier,
and no interpreter is available. Which is the best example of an appropriate question
forthe nurse to ask in this situation?
, • "Do you take medicine?"
• "Do you sterilize the bottles?"
• "Do you have nausea and vomiting?"
• "You have been taking your medicine, haven't you?" - correct answers: A) "Do
youtake medicine?"
Page: 46 In a situation where there is a language barrier and no interpreter available,
use simple words avoiding medical jargon. Avoid using contractions and pronouns.
Usenouns repeatedly and discuss one topic at a time.
• A female patient does not speak English well, and the nurse needs to choose
aninterpreter. Which of the following would be the most appropriate choice?
A) A trained interpreter
B) A male family
member
• A female family member
• A volunteer college student from the foreign language studies department -
correctanswers: A) A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter, preferably
onewho knows medical terminology. In general, an older, more mature interpreter is
preferred to a younger, less experienced one, and the same gender is preferred
when possible.
• The nurse is conducting an interview. Which of these statements is true
regarding open-ended questions? Select all that apply.
• They elicit cold facts.
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