lOMoARcPSD|21646696
lOMoARc
HESI A2 Critical Thinking Questions.
124
QUESTIONS AND ANSWERS
WITH
RATIONALE. RATED GRADE A+
1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which
statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said.
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. - A) Note-taking may impede the nurse'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 of importance. It also may interrupt the patient's
narrative flow, and it impedes the observation of the patient's nonverbal behavior.
2. 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
C) Direct question
D) Open-ended question - D) Open-ended question
, lOMoARcPSD|21646696
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.
, lOMoARcPSD|21646696
3. A nurse is taking complete health histories on all of the patients attending a wellness workshop. 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.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics. - C) using biased 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 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 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:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - D) uncomfortable talking 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?
, lOMoARcPSD|21646696
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired people find this degrading.
C) Request a sign language interpreter before meeting with him to help facilitate the communication.
D) Speak loudly and with exaggerated facial movement when talking with him because this helps with lip
reading. - 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 for the nurse to ask in
this situation?
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?" - A) "Do you take 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. Use nouns repeatedly and discuss one
topic at a time.
7. A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of
the following would be the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department - A) A trained interpreter
lOMoARc
HESI A2 Critical Thinking Questions.
124
QUESTIONS AND ANSWERS
WITH
RATIONALE. RATED GRADE A+
1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which
statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said.
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. - A) Note-taking may impede the nurse'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 of importance. It also may interrupt the patient's
narrative flow, and it impedes the observation of the patient's nonverbal behavior.
2. 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
C) Direct question
D) Open-ended question - D) Open-ended question
, lOMoARcPSD|21646696
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.
, lOMoARcPSD|21646696
3. A nurse is taking complete health histories on all of the patients attending a wellness workshop. 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.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics. - C) using biased 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 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 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:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - D) uncomfortable talking 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?
, lOMoARcPSD|21646696
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired people find this degrading.
C) Request a sign language interpreter before meeting with him to help facilitate the communication.
D) Speak loudly and with exaggerated facial movement when talking with him because this helps with lip
reading. - 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 for the nurse to ask in
this situation?
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?" - A) "Do you take 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. Use nouns repeatedly and discuss one
topic at a time.
7. A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of
the following would be the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department - A) A trained interpreter
