HESI Health Assessment Exam 1 2024
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. - 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.
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 - 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 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. - 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.
