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ADVANCED HEALTH ASSESSMENT HESI RN
QUESTIONS AND ANSWERS WITH DETAILED
RATIONALES UPDATED VERSION LATEST
GUARANTEED PASS HESI RN 1000 PAGES
DETAILED RATIONALES TEST BANK GRADED 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.
- Correct Answer-A) Note-taking may impede the nurse's observation of the
patient's nonverbal behaviors.
Detailed RATIONALE: 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.
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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
- Correct Answer-D) Open-ended question
Detailed RATIONALE: 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.
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
. - Correct Answer-C) using biased or leading questions.
Detailed RATIONALE: 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
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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.
- Correct Answer-D) uncomfortable talking about his son's treatment.
Detailed RATIONALE: 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?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired people find
this degrading.
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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.
- Correct Answer-A) Determine the communication method he prefers.
Detailed RATIONALEs: 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?
" - Correct Answer-A) "Do you take medicine?"
Detailed RATIONALE: 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.
ADVANCED HEALTH ASSESSMENT HESI RN
QUESTIONS AND ANSWERS WITH DETAILED
RATIONALES UPDATED VERSION LATEST
GUARANTEED PASS HESI RN 1000 PAGES
DETAILED RATIONALES TEST BANK GRADED 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.
- Correct Answer-A) Note-taking may impede the nurse's observation of the
patient's nonverbal behaviors.
Detailed RATIONALE: 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|Page
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
- Correct Answer-D) Open-ended question
Detailed RATIONALE: 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.
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
. - Correct Answer-C) using biased or leading questions.
Detailed RATIONALE: 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
,3|Page
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.
- Correct Answer-D) uncomfortable talking about his son's treatment.
Detailed RATIONALE: 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?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired people find
this degrading.
, 4|Page
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.
- Correct Answer-A) Determine the communication method he prefers.
Detailed RATIONALEs: 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?
" - Correct Answer-A) "Do you take medicine?"
Detailed RATIONALE: 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.
