HESI PREP - HEALTH
ASSESSMENT PRACTICE
QUESTIONS WITH CORRECT
ANSWERS GRADED A+
1. 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. -
answer-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.
2. 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. -
answer-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.
3. 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.
,- answer-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.
4. 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 - answer-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.
5. The nurse is interviewing a patient who has a hearing
impairment. What techniques would be most beneficial in
communicating with this patient?
, 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. -
answer-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?"
ASSESSMENT PRACTICE
QUESTIONS WITH CORRECT
ANSWERS GRADED A+
1. 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. -
answer-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.
2. 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. -
answer-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.
3. 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.
,- answer-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.
4. 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 - answer-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.
5. The nurse is interviewing a patient who has a hearing
impairment. What techniques would be most beneficial in
communicating with this patient?
, 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. -
answer-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?"
