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HESI A2 CRITICAL THINKING EXAM QUESTIONS AND THEIR EXACT ANSWERS.
1. In an interview, the nurse may find it necessary
to take A) Note-taking may impede the nurse's observation
of the patient's nonverbal notes to aid his or her memory later. Which statement is
behaviors.
true regarding note-taking?
Page: 31 Some use of history forms and note-taking
may be unavoidable. But
A) Note-taking may impede the nurse's observation of be aware that note-taking
during the interview has disadvantages. It breaks eye the patient's nonverbal behaviors.
contact too often, and it shifts attention away from the patient, which diminishes
B) Note-taking allows the patient to continue at his or his or her sense of
importance. It also may interrupt the patient's narrative flow, her own pace as the nurse
records what is said. and it impedes the observation of the patient's
nonverbal behavior.
C) Note-taking allows the nurse to
shift attention away from the
patient, resulting in an increased
comfort level.
D) Note-taking allows the nurse to
break eye contact with the patient,
which may increase his or her level
of comfort.
2. During an interview, the nurse states, "You
mentioned D) Open-ended
question shortness of breath. Tell me more about
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that." Which
verbal skill is used with this statement? 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
A) Reflection begin the interview, to introduce a new section of
questions, and whenever the
B) Facilitation person introduces a new topic.
C) Direct question
D) Open-ended question
3. A nurse is taking complete health histories on all of
C) using biased or leading questions. the patients attending a
wellness workshop. On the
history form, one of the written questions asks, "You Page: 36 This is an
example of using leading or biased questions. Asking, "You don't smoke, drink, or take
drugs, do you?" This don't smoke, do you?" implies that one answer is
"better" than another. If the question is an example of: person wants to please 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
A) talking too much. the other answer.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.
4. During an interview, a parent of a hospitalized child is D)
uncomfortable talking about his son's treatment. sitting in an open
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position. As the interviewer begins to
discuss his son's treatment, however, he suddenly Page: 37 Note the person's
position. An open position with the extension of crosses his arms against his chest and
crosses his legs. large muscle groups shows relaxation, physical
comfort, and a willingness to This would suggest that the parent is: 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
A) just changing positions. relaxed position suddenly tenses, it suggests possible
discomfort with the new
B) more comfortable in this position. topic.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment.
5.The nurse is interviewing a patient who has a hearing A)
Determine the communication method he prefers. impairment. What
techniques would be most beneficial
in communicating with this patient? 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
A) Determine the communication method he prefers. reading, then the nurse should be
sure to face him or her squarely and have
B) Avoid using facial and hand gestures because most good lighting on the
nurse's face. The nurse should not exaggerate lip hearing-impaired people find this
degrading. movements because this distorts words.
Similarly, shouting distorts the
C) Request a sign language interpreter before meeting reception of a hearing aid
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the person may wear. The nurse should speak slowly with him to help facilitate the
communication. and should supplement his or her voice with
appropriate hand gestures or
D) Speak loudly and with exaggerated facial
movement
pantomime. when talking with him because
this helps with lip
reading.
6. The nurse is performing a health interview on a
A) "Do you take medicine?" patient who has a
language barrier, and no interpreter
is available. Which is the best example of an Page: 46 In a situation where there is a language
barrier and no interpreter
appropriate question for the nurse to ask in this available, use simple words
avoiding medical jargon. Avoid using contractions situation? and pronouns. Use
nouns repeatedly and discuss one topic at a time.
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?"
7. A female patient does not speak English well,
and the A) A trained
interpreter nurse needs to choose an interpreter.
Which of the
following would be the most appropriate choice? Page: 46 whenever possible, the nurse
should use a trained interpreter,
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