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(NUR 246) HESI Health Assessment Nightingale College Fall 2022 Review / Actual Questions & Certified Answers (Latest Update 2025/2026)

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(NUR 246) HESI Health Assessment Nightingale College Fall 2022 Review / Actual Questions & Certified Answers (Latest Update 2025/2026) Quiz_________________? role of rural and remote area nurses in primary health care - Answer Rural area nursing: presence of medical officer - serves a wide area, health services are limited (specialist surgery and maternity services) - nurses may provide other emergency, rehabilitation and primary healthcare depending on the presence/ absence of other health professionals Remote area nursing: absence of medical officer - scope of practice determined by lack of other healthcare professionals, many services are FIFO (physiotherapists, optometrists) - few inpatient facilities, healthcare centres open during office hours with on-call backup - nurses provide emergency services, age-appropriate wellness checks, detection/ monitoring of chronic diseases, mental health services and end-of-life care Quiz_________________? interview and assessment techniques - Answer Active listening: concentrates on patient responses - avoid formulating the next question during responses - Facilitation: verbal/ non-verbal phrases to encourage patient to continue talking

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Quiz_________________?

role of rural and remote area nurses in primary health care -

Answer✅

Rural area nursing: presence of medical officer

- serves a wide area, health services are limited (specialist surgery and maternity services)

- nurses may provide other emergency, rehabilitation and primary healthcare depending on
the presence/ absence of other health professionals

Remote area nursing: absence of medical officer

- scope of practice determined by lack of other healthcare professionals, many services are
FIFO (physiotherapists, optometrists)

- few inpatient facilities, healthcare centres open during office hours with on-call backup

- nurses provide emergency services, age-appropriate wellness checks, detection/
monitoring of chronic diseases, mental health services and end-of-life care



Quiz_________________?

interview and assessment techniques -

Answer✅

Active listening: concentrates on patient responses - avoid formulating the next question
during responses

- Facilitation: verbal/ non-verbal phrases to encourage patient to continue talking


1

, - Clarification: to gather more information

- Restatement: repeating what patient said in different words to confirm interpretation

- Reflection: repeating what the patient said to encourage elaboration

- Confrontation: when inconsistencies are noted between patient's report and nurse's
observations - use tone of voice to convey confusion

- Interpretation: share conclusions drawn from data - patient may confirm, deny or revise



Quiz_________________?

factors that influence the interview -

Answer✅

Nurse behaviours, type questions - how they are asked, personality/ behaviour of patient

- Patient's age, physical/ mental/ emotional status

- Talkative patients - refocus on events relevant to the present, close-ended questions

- Language barriers - interpreter should be an objective observer of the same gender

- Others in the room - don't assume, always clarify, parents may answer for child - ask
adolescents directly



Quiz_________________?

stages of the interview process -

Answer✅

Introduction: prepare the patient for what to expect

- Discussion: facilitate, collect, and record health history/ data- keep it patient-centred,
nurse prompts questions + takes notes

- Summary: allows for clarification of data + accurate understanding, provides closure

Discuss the application of the Australian Safety and Quality Framework for Health Care
(ASQFHC) to primary healthcare



Quiz_________________?

skin tears, tissue types, and silicone foam adhesives -

Answer✅


2

, If viable, gently realign the flap back into place using a dampened cotton tip or gloved finger

- 1A: edges can be realigned; skin colour is NOT dusky or darkened

- 1B: edges can be realigned; skin colour is dusky or darkened

- 2A: edges can NOT be realigned; skin colour is NOT dusky or darkened

- 2B: edges can NOT be realigned; skin colour is dusky or darkened

- 3: skin flap is absent

Silicone foam dressing:

- manages non to low exudate wounds and provides a moist wound environment which aids
the wound healing process

- helps to minimise maceration and damage to the surrounding skin

- provides cushioning and protects from water and bacteria

- stay up to 7 days but should be changed once saturated with exudates



Quiz_________________?

evidence-based practice -

Answer✅

Assessment, planning, implementation, review - care plans



Quiz_________________?

health promotion and behaviour change using theoretical and conceptual frameworks -

Answer✅

Stages of change: pre-contemplation, contemplation, preparation, maintenance, relapse

5 As:

- Assess the client's beliefs, behaviour and knowledge

- Advise the client about health risks + benefits of behavioural change

- Assist the client in identifying personal barriers + work through these

- Agree on goals based on client's interest + confidence to change behaviour

- Arrange referrals to other services, plan for follow-up (visit/ phone call)

Motivational interviewing:


3

, - Engaging: establish relationship with client

- Focusing: developing a directed conversation about behaviour change

- Evoking: identifying motivation for change

- Planning: developing commitment to change + establish action plan

- Intrinsic motivation: internal rewards for self

- Extrinsic motivation: approval from others



Quiz_________________?

quality improvement is applied in community nursing -

Answer✅

Accreditation - improve safety and quality

Examples:

- National digital health strategy - my health record

- National disability insurance scheme (NDIS)

- Health care home services - better outcomes for people with chronic conditions

Discuss legal and ethical issues relating to nursing practice in a community setting



Quiz_________________?

risk populations -

Answer✅

Refugee, migrant, indigenous and other minority + gender groups

- Diversity - generalisations/ stereotypes, discrimination

- Access to healthcare - location, diversity of healthcare workers

- Language barriers, unhealthy environments (DV)

- Scio-economic disparities



Quiz_________________?

common safety concerns and risk assessments when providing health care in people's
homes -


4

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