HESI Prep - Health Assessment EXAM Newest Version
(124 Questions With 100% Correct Answers) A+ Graded
Verified
1. During an interview, the nurse may find it necessary to take notes to help him or her
remember later. Which statement is correct about note-taking?
A) Taking notes may impair the nurse's ability to observe the patient's nonverbal
behaviors.
B) Note-taking allows the patient to proceed at his or her own pace while the nurse
documents what is said.
C) Taking notes allows the nurse to focus on something other than the patient, which
increases comfort.
,D) Taking notes allows the nurse to break eye contact with the patient, potentially
increasing his or her level of comfort. - ANSWER: A) Taking notes may interfere with the
nurse's ability to observe the patient's nonverbal behaviors.
Page: 31 The use of history forms and note-taking may be unavoidable. However, be
aware that taking notes during the interview has drawbacks. It breaks eye contact too
frequently and draws attention away from the patient, reducing his or her sense of
importance. It can also disrupt the patient's narrative flow and make it difficult to observe
his or her nonverbal behavior.
2. During an interview, the nurse says, "You mentioned shortness of breath." Tell me
more about it. What verbal skill is used in this statement?
Options include reflection, facilitation, and direct questions.
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.
3. A nurse is collecting complete health histories from all of the patients attending a
wellness workshop. On the history form, one of the written questions is, "You don't
smoke, drink, or use drugs, do you?" This question is an example of.
A) talking excessively.
B) Use confrontation.
C) asking biased or leading questions.
D) Using blunt language to address unpleasant topics. - ANSWER C) Use biased or
leading questions.
Page: 36 This is an example of asking leading or biased questions. The question, "You
don't smoke, do you?" implies that one answer is "better" than another. If a person
wishes to please someone, he or she is either forced to respond in a manner consistent
with their implied values or is made to feel guilty for admitting the opposite answer.
4. During an interview, a parent with a hospitalized child sits in an open position. As the
interviewer begins to discuss his son's treatment, he abruptly crosses his arms and legs.
This suggests that the parent is:
A) Simply changing positions.
B) more comfortable in this position.
C) is tired and needs a break from the interview.
D) uncomfortable discussing his son's treatment. - ANSWER D) Uncomfortable
discussing his son's treatment.
Page: 37 Take note of the person's position. An open position displaying the extension of
large muscle groups demonstrates relaxation, physical comfort, and a willingness to
share information. A closed position with the arms and legs crossed appears defensive
and anxious. Take note of any changes in posture. If a person in a relaxed position
suddenly tenses, it indicates a possible discomfort with the new topic.
,5. The nurse is interviewing a patient with a hearing impairment. Which techniques would
be most effective in communicating with this patient?
A) Determine which communication method he prefers.
B) Avoid using facial and hand gestures, which most hearing-impaired people find
degrading.
C) Before meeting with him, request a sign language interpreter to facilitate
communication.
D) Speak loudly and with exaggerated facial movement when conversing with him to aid
in lip reading. - ANSWER A) Determine which communication method he prefers.
Pages: 40–41 The nurse should inquire about the deaf person's preferred method of
communication, which could be signing, lip reading, or writing. If the patient prefers lip
reading, the nurse should face him or her squarely and have adequate lighting on her
face. The nurse should avoid exaggerating lip movements because they distort words.
Similarly, shouting distorts the reception of any hearing aids that the person may be
wearing. The nurse should speak slowly and supplement his or her words with
appropriate hand gestures or pantomime.
6. The nurse is conducting a health interview on a patient with a language barrier, and
there is no interpreter available. What is the best example of an appropriate question for
the nurse to ask in this scenario?
A) "Do you take medicines?"
B) Do you sterilize the bottles?
C) "Are you experiencing nausea and vomiting?"
D) "Have you been taking your medicine?" - ANSWER A: "Do you take medication?"
Page: 46 In the event that there is a language barrier and no interpreter is available, use
simple words and avoid medical terminology. Avoid contractions and pronouns. Use
nouns frequently and only discuss one topic at a time.
7. A female patient does not speak English well, so the nurse must choose an interpreter.
Which of the following is the most appropriate option?
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 (answer).
A) A trained interpreter.
Page: 46 Whenever possible, the nurse should use a trained interpreter, preferably one
who understands medical terminology. In general, an older, more mature interpreter is
preferred over a younger, less experienced one, and if possible, the same gender.
8. A nurse is conducting an interview. Which of the following statements is true about
open-ended questions? Select all that apply.
A) They reveal cold facts.
B) They enable self-expression.
, C) They establish and enhance rapport.
D) They keep interactions neutral.
E) They ask for one- to two-word answers.
F) They are used whenever narrative information is required. - ANSWER B) They enable
self-expression.
C) They establish and enhance rapport.
F) They are used for narrative information.
Page: 32 Open-ended questions allow you to express yourself, establish rapport, and
gather narrative information. These features improve communication during an interview.
The remaining statements are suitable for closed or direct questions.
9. In an outpatient clinic, the nurse conducts an interview and records the results on a
computer. Which is the most effective use of the computer in this situation? Select all
that apply.
A) Collect patient data directly, face-to-face.
B) Enter all of the information as the patient provides it.
C) Ask the patient to wait while the nurse enters data.
D) After you've thoroughly explored the narrative, enter the data into the computer.
E) Allow the patient to view the monitor while typing. - ANSWER A) Collect patient data
directly, face-to-face.
D) After you've thoroughly explored the narrative, enter the data into the computer.
E) Allow the patient to view the monitor while typing.
Page: 32 The use of a computer can create a barrier. The nurse should start the interview
as usual by greeting the patient, establishing rapport, and gathering the patient's
narrative story in a direct face-to-face setting. Only
10. During an assessment, the nurse notices a patient holding a small charm attached to
a leather strip around his neck. Which action of the nurse is appropriate?
A) Question the patient about the item and its significance.
B) Request that the patient lock the item with other valuables in the hospital's safe.
C) Inform the patient that any valuables should be taken home by a family member.
D) No action is required. - ANSWER A) Question the patient about the item and its
significance
Page: 21 The nurse should inquire about the amulet's significance. Some cultures
consider amulets, such as charms, to be an important form of protection against "evil
spirits."
11. In America's majority culture, coughing, sweating, and diarrhea are signs of illness.
However, for some Mexican-Americans, these symptoms are an everyday occurrence.
The nurse recognizes this as true, most likely because Mexican-Americans:
A) have inefficient immune systems and are frequently ill.
B) Consider these symptoms to be part of normal life, rather than signs of illness.
C) come from Mexico, where coughing is normal and healthy.
(124 Questions With 100% Correct Answers) A+ Graded
Verified
1. During an interview, the nurse may find it necessary to take notes to help him or her
remember later. Which statement is correct about note-taking?
A) Taking notes may impair the nurse's ability to observe the patient's nonverbal
behaviors.
B) Note-taking allows the patient to proceed at his or her own pace while the nurse
documents what is said.
C) Taking notes allows the nurse to focus on something other than the patient, which
increases comfort.
,D) Taking notes allows the nurse to break eye contact with the patient, potentially
increasing his or her level of comfort. - ANSWER: A) Taking notes may interfere with the
nurse's ability to observe the patient's nonverbal behaviors.
Page: 31 The use of history forms and note-taking may be unavoidable. However, be
aware that taking notes during the interview has drawbacks. It breaks eye contact too
frequently and draws attention away from the patient, reducing his or her sense of
importance. It can also disrupt the patient's narrative flow and make it difficult to observe
his or her nonverbal behavior.
2. During an interview, the nurse says, "You mentioned shortness of breath." Tell me
more about it. What verbal skill is used in this statement?
Options include reflection, facilitation, and direct questions.
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.
3. A nurse is collecting complete health histories from all of the patients attending a
wellness workshop. On the history form, one of the written questions is, "You don't
smoke, drink, or use drugs, do you?" This question is an example of.
A) talking excessively.
B) Use confrontation.
C) asking biased or leading questions.
D) Using blunt language to address unpleasant topics. - ANSWER C) Use biased or
leading questions.
Page: 36 This is an example of asking leading or biased questions. The question, "You
don't smoke, do you?" implies that one answer is "better" than another. If a person
wishes to please someone, he or she is either forced to respond in a manner consistent
with their implied values or is made to feel guilty for admitting the opposite answer.
4. During an interview, a parent with a hospitalized child sits in an open position. As the
interviewer begins to discuss his son's treatment, he abruptly crosses his arms and legs.
This suggests that the parent is:
A) Simply changing positions.
B) more comfortable in this position.
C) is tired and needs a break from the interview.
D) uncomfortable discussing his son's treatment. - ANSWER D) Uncomfortable
discussing his son's treatment.
Page: 37 Take note of the person's position. An open position displaying the extension of
large muscle groups demonstrates relaxation, physical comfort, and a willingness to
share information. A closed position with the arms and legs crossed appears defensive
and anxious. Take note of any changes in posture. If a person in a relaxed position
suddenly tenses, it indicates a possible discomfort with the new topic.
,5. The nurse is interviewing a patient with a hearing impairment. Which techniques would
be most effective in communicating with this patient?
A) Determine which communication method he prefers.
B) Avoid using facial and hand gestures, which most hearing-impaired people find
degrading.
C) Before meeting with him, request a sign language interpreter to facilitate
communication.
D) Speak loudly and with exaggerated facial movement when conversing with him to aid
in lip reading. - ANSWER A) Determine which communication method he prefers.
Pages: 40–41 The nurse should inquire about the deaf person's preferred method of
communication, which could be signing, lip reading, or writing. If the patient prefers lip
reading, the nurse should face him or her squarely and have adequate lighting on her
face. The nurse should avoid exaggerating lip movements because they distort words.
Similarly, shouting distorts the reception of any hearing aids that the person may be
wearing. The nurse should speak slowly and supplement his or her words with
appropriate hand gestures or pantomime.
6. The nurse is conducting a health interview on a patient with a language barrier, and
there is no interpreter available. What is the best example of an appropriate question for
the nurse to ask in this scenario?
A) "Do you take medicines?"
B) Do you sterilize the bottles?
C) "Are you experiencing nausea and vomiting?"
D) "Have you been taking your medicine?" - ANSWER A: "Do you take medication?"
Page: 46 In the event that there is a language barrier and no interpreter is available, use
simple words and avoid medical terminology. Avoid contractions and pronouns. Use
nouns frequently and only discuss one topic at a time.
7. A female patient does not speak English well, so the nurse must choose an interpreter.
Which of the following is the most appropriate option?
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 (answer).
A) A trained interpreter.
Page: 46 Whenever possible, the nurse should use a trained interpreter, preferably one
who understands medical terminology. In general, an older, more mature interpreter is
preferred over a younger, less experienced one, and if possible, the same gender.
8. A nurse is conducting an interview. Which of the following statements is true about
open-ended questions? Select all that apply.
A) They reveal cold facts.
B) They enable self-expression.
, C) They establish and enhance rapport.
D) They keep interactions neutral.
E) They ask for one- to two-word answers.
F) They are used whenever narrative information is required. - ANSWER B) They enable
self-expression.
C) They establish and enhance rapport.
F) They are used for narrative information.
Page: 32 Open-ended questions allow you to express yourself, establish rapport, and
gather narrative information. These features improve communication during an interview.
The remaining statements are suitable for closed or direct questions.
9. In an outpatient clinic, the nurse conducts an interview and records the results on a
computer. Which is the most effective use of the computer in this situation? Select all
that apply.
A) Collect patient data directly, face-to-face.
B) Enter all of the information as the patient provides it.
C) Ask the patient to wait while the nurse enters data.
D) After you've thoroughly explored the narrative, enter the data into the computer.
E) Allow the patient to view the monitor while typing. - ANSWER A) Collect patient data
directly, face-to-face.
D) After you've thoroughly explored the narrative, enter the data into the computer.
E) Allow the patient to view the monitor while typing.
Page: 32 The use of a computer can create a barrier. The nurse should start the interview
as usual by greeting the patient, establishing rapport, and gathering the patient's
narrative story in a direct face-to-face setting. Only
10. During an assessment, the nurse notices a patient holding a small charm attached to
a leather strip around his neck. Which action of the nurse is appropriate?
A) Question the patient about the item and its significance.
B) Request that the patient lock the item with other valuables in the hospital's safe.
C) Inform the patient that any valuables should be taken home by a family member.
D) No action is required. - ANSWER A) Question the patient about the item and its
significance
Page: 21 The nurse should inquire about the amulet's significance. Some cultures
consider amulets, such as charms, to be an important form of protection against "evil
spirits."
11. In America's majority culture, coughing, sweating, and diarrhea are signs of illness.
However, for some Mexican-Americans, these symptoms are an everyday occurrence.
The nurse recognizes this as true, most likely because Mexican-Americans:
A) have inefficient immune systems and are frequently ill.
B) Consider these symptoms to be part of normal life, rather than signs of illness.
C) come from Mexico, where coughing is normal and healthy.
