HESI PREP (HEALTH
nn nn nn
ASSESSMENT QUESTIONS AND nn nn nn
ANSWERS) nn
1. nnIn nnan nninterview, nnthe nnnurse nnmay nnfind nnit nnnecessary nnto nntake nnnotes nnto nnaid nnhis nnor nnher
nnmemory nnlater. nnWhich nnstatement nnis nntrue nnregarding nnnote-taking? nn nn
nn
A) Note-taking nnmay nnimpede nnthe nnnurse's nnobservation nnof nnthe nnpatient's nnnonverbal nnbehaviors. nn
B) Note-taking nnallows nnthe nnpatient nnto nncontinue nnat nnhis nnor nnher nnown nnpace nnas nnthe nnnurse
nnrecords nnwhat nnis nnsaid. nn
C) Note-taking nnallows nnthe nnnurse nnto nnshift nnattention nnaway nnfrom nnthe nnpatient, nnresulting nnin nnan
nnincreased nncomfort nnlevel. nn
D) Note-taking nnallows nnthe nnnurse nnto nnbreak nneye nncontact nnwith nnthe nnpatient, nnwhich nnmay nnincrease
nnhis nnor nnher nnlevel nnof nncomfort. nn- nnCORRECT nnANSWER nn-A) nnNote-taking nnmay nnimpede nnthe
nnnurse's nnobservation nnof nnthe nnpatient's nnnonverbal nnbehaviors. nn
nn
Page: nn31 nnSome nnuse nnof nnhistory nnforms nnand nnnote-taking nnmay nnbe nnunavoidable. nnBut nnbe nnaware
nnthat nnnote-taking nnduring nnthe nninterview nnhas nndisadvantages. nnIt nnbreaks nneye nncontact nntoo nnoften,
nnand nnit nnshifts nnattention nnaway nnfrom nnthe nnpatient, nnwhich nndiminishes nnhis nnor nnher nnsense nnof
nnimportance. nnIt nnalso nnmay nninterrupt nnthe nnpatient's nnnarrative nnflow, nnand nnit nnimpedes nnthe
nnobservation nnof nnthe nnpatient's nnnonverbal nnbehavior. nn
nn
2. nnDuring nnan nninterview, nnthe nnnurse nnstates, nn"You nnmentioned nnshortness nnof nnbreath. nnTell nnme
nnmore nnabout nnthat." nnWhich nnverbal nnskill nnis nnused nnwith nnthis nnstatement? nn
nn
A) Reflection nn
B) Facilitation nn
C) Direct nnquestion nn
,D) Open-ended nnquestion nn- nnCORRECT nnANSWER nn-D) nnOpen-ended nnquestion nn
nn
Page: nn32 nnThe nnopen-ended nnquestion nnasks nnfor nnnarrative nninformation. nnIt nnstates nnthe nntopic nnto nnbe
nndiscussed nnbut nnonly nnin nngeneral nnterms. nnThe nnnurse nnshould nnuse nnit nnto nnbegin nnthe nninterview, nnto
nnintroduce nna nnnew nnsection nnof nnquestions, nnand nnwhenever nnthe nnperson nnintroduces nna nnnew nntopic.
nn
nn
3. nnA nnnurse nnis nntaking nncomplete nnhealth nnhistories nnon nnall nnof nnthe nnpatients nnattending nna nnwellness
nnworkshop. nnOn nnthe nnhistory nnform, nnone nnof nnthe nnwritten nnquestions nnasks, nn"You nndon't nnsmoke,
nndrink, nnor nntake nndrugs, nndo nnyou?" nnThis nnquestion nnis nnan nnexample nnof: nn
nn
A) talking nntoo nnmuch. nn
B) using nnconfrontation. nn
C) using nnbiased nnor nnleading nnquestions. nn
D) using nnblunt nnlanguage nnto nndeal nnwith nndistasteful nntopics. nn- nnCORRECT nnANSWER nn-C) nnusing
nnbiased nnor nnleading nn
questions. nn
nn
Page: nn36 nnThis nnis nnan nnexample nnof nnusing nnleading nnor nnbiased nnquestions. nnAsking, nn"You nndon't
nnsmoke, nndo nnyou?" nnimplies nnthat nnone nnanswer nnis nn"better" nnthan nnanother. nnIf nnthe nnperson nnwants
nnto nnplease nnsomeone, nnhe nnor nnshe nnis nneither nnforced nnto nnanswer nnin nna nnway nncorresponding nnto
nntheir nnimplied nnvalues nnor nnis nnmade nnto nnfeel nnguilty nnwhen nnadmitting nnthe nnother nnanswer. nn
nn
4. nnDuring nnan nninterview, nna nnparent nnof nna nnhospitalized nnchild nnis nnsitting nnin nnan nnopen nnposition. nnAs
nnthe nninterviewer nnbegins nnto nndiscuss nnhis nnson's nntreatment, nnhowever, nnhe nnsuddenly nncrosses nnhis
nnarms nnagainst nnhis nnchest nnand nncrosses nnhis nnlegs. nnThis nnwould nnsuggest nnthat nnthe nnparent nnis: nn
nn
A) just nnchanging nnpositions. nn
B) more nncomfortable nnin nnthis nnposition. nn
C) tired nnand nnneeds nna nnbreak nnfrom nnthe nninterview. nn
D) uncomfortable nntalking nnabout nnhis nnson's nntreatment. nn- nnCORRECT nnANSWER nn-D) nnuncomfortable
nntalking nnabout nnhis nnson's nntreatment. nn
nn
,Page: nn37 nnNote nnthe nnperson's nnposition. nnAn nnopen nnposition nnwith nnthe nnextension nnof nnlarge nnmuscle
nngroups nnshows nnrelaxation, nnphysical nncomfort, nnand nna nnwillingness nnto nnshare nninformation. nnA
nnclosed nnposition nnwith nnthe nnarms nnand nnlegs nncrossed nntends nnto nnlook nndefensive nnand nnanxious.
nnNote nnany nnchange nnin nnposture. nnIf nna nnperson nnin nna nnrelaxed nnposition nnsuddenly nntenses, nnit
nnsuggests nnpossible nndiscomfort nnwith nnthe nnnew nntopic. nn
nn
5. nnThe nnnurse nnis nninterviewing nna nnpatient nnwho nnhas nna nnhearing nnimpairment. nnWhat nntechniques
nnwould nnbe nnmost nnbeneficial nnin nncommunicating nnwith nnthis nnpatient? nn
nn
A) Determine nnthe nncommunication nnmethod nnhe nnprefers. nn
B) Avoid nnusing nnfacial nnand nnhand nngestures nnbecause nnmost nnhearing-impaired nnpeople nnfind nnthis
nndegrading. nn
C) Request nna nnsign nnlanguage nninterpreter nnbefore nnmeeting nnwith nnhim nnto nnhelp nnfacilitate nnthe
nncommunication. nn
D) Speak nnloudly nnand nnwith nnexaggerated nnfacial nnmovement nnwhen nntalking nnwith nnhim nnbecause nnthis
nnhelps nnwith nnlip nnreading. nn- nnCORRECT nnANSWER nn-A) nnDetermine nnthe nncommunication nnmethod
nnhe nnprefers. nn
nn
Pages: nn40-41 nnThe nnnurse nnshould nnask nnthe nndeaf nnperson nnthe nnpreferred nnway nnto nncommunicate—
by nnsigning, nnlip nnreading, nnor nnwriting. nnIf nnthe nnperson nnprefers nnlip nnreading, nnthen nnthe nnnurse
nnshould nnbe nnsure nnto nnface nnhim nnor nnher nnsquarely nnand nnhave nngood nnlighting nnon nnthe nnnurse's nnface.
nnThe nnnurse nnshould nnnot nnexaggerate nnlip nnmovements nnbecause nnthis nndistorts nnwords. nnSimilarly,
nnshouting nndistorts nnthe nnreception nnof nna nnhearing nnaid nnthe nnperson nnmay nnwear. nnThe nnnurse nnshould
nnspeak nnslowly nnand nnshould nnsupplement nnhis nnor nnher nnvoice nnwith nnappropriate nnhand nngestures nnor
nnpantomime. nn
nn
6. nnThe nnnurse nnis nnperforming nna nnhealth nninterview nnon nna nnpatient nnwho nnhas nna nnlanguage nnbarrier,
nnand nnno nninterpreter nnis nnavailable. nnWhich nnis nnthe nnbest nnexample nnof nnan nnappropriate nnquestion nnfor
nnthe nnnurse nnto nnask nnin nnthis nnsituation? nn
nn
A) "Do nnyou nntake nnmedicine?" nn
B) "Do nnyou nnsterilize nnthe nnbottles?" nn
C) "Do nnyou nnhave nnnausea nnand nnvomiting?" nn
, D) "You nnhave nnbeen nntaking nnyour nnmedicine, nnhaven't nnyou?" nn- nnCORRECT nnANSWER nn-A) nn"Do nnyou
nntake nnmedicine?" nn
nn
Page: nn46 nnIn nna nnsituation nnwhere nnthere nnis nna nnlanguage nnbarrier nnand nnno nninterpreter nnavailable,
nnuse nnsimple nnwords nnavoiding nnmedical nnjargon. nnAvoid nnusing nncontractions nnand nnpronouns. nnUse
nnnouns nnrepeatedly nnand nndiscuss nnone nntopic nnat nna nntime. nn
nn
7. nnA nnfemale nnpatient nndoes nnnot nnspeak nnEnglish nnwell, nnand nnthe nnnurse nnneeds nnto nnchoose nnan
nninterpreter. nnWhich nnof nnthe nnfollowing nnwould nnbe nnthe nnmost nnappropriate nnchoice? nn
nn
A) A nntrained nninterpreter nn
B) A nnmale nnfamily nnmember nn
C) A nnfemale nnfamily nnmember nn
D) A nnvolunteer nncollege nnstudent nnfrom nnthe nnforeign nnlanguage nnstudies nndepartment nn- nnCORRECT
nnANSWER nn-A) nnA nntrained nninterpreter nn
nn
Page: nn46 nnwhenever nnpossible, nnthe nnnurse nnshould nnuse nna nntrained nninterpreter, nnpreferably nnone
nnwho nnknows nnmedical nnterminology. nnIn nngeneral, nnan nnolder, nnmore nnmature nninterpreter nnis
nnpreferred nnto nna nnyounger, nnless nnexperienced nnone, nnand nnthe nnsame nngender nnis nnpreferred nnwhen
nnpossible. nn
nn
8. nnThe nnnurse nnis nnconducting nnan nninterview. nnWhich nnof nnthese nnstatements nnis nntrue nnregarding
nnopen-ended nnquestions? nnSelect nnall nnthat nnapply. nn
nn
A) They nnelicit nncold nnfacts. nn
B) They nnallow nnfor nnself-expression. nn
C) They nnbuild nnand nnenhance nnrapport. nn
D) They nnleave nninteractions nnneutral. nn
E) They nncall nnfor nnshort nnone- nnto nntwo-word nnanswers. nn
F) They nnare nnused nnwhen nnnarrative nninformation nnis nnneeded. nn- nnCORRECT nnANSWER nn-B) nnThey
nnallow nnfor nnselfexpression. nn