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HPS 103
FOUNDATION COMPETENCIES
IN HEALTH SCIENCE
T Determine the type of stem.
C Determine who the client is.
I Determine what the issue is.
K Identify the key words.
The client is key
The scenario
The stem
The options
This scenario provides information about
 a clinical health problem, and
 the information to consider when
answering the question
The stem asks something about the
scenario.
Read carefully to identify specifically what
is being asked.
The options are the possible answers.
Read every option carefully.
Reread the stem to be sure you
understand what is being asked.
The client is key
Read the stem.
RE-read the stem with each option as a
true-false statement.
Eliminate the distractors and select from
the remaining options.
Always “GO WITH WHAT YOU KNOW.”
Read the stem.
Finish the statement in your mind, and
check to see if the answer is one of the
options.
Your answer may or may not be one of the
options, but you will be thinking along the
same channels.
Re-read as four true-false statements.
Read the statement with the first option.
If the statement is false, cross off the letter
of that option.
This is a distractor and will not be the
correct answer.
If the statement is true, it may be the
correct answer.
Place a “+” in front of this option
You won’t know if this is the correct answer
until you read all four options.
If you are uncertain about an option, place
a “?” in front of that option.
After reading all four options, eliminate the
distractors and select from the remaining
options.
If you placed an “X” in front of two options,
And a “+” in front of one option,
And a “?” in front of one option,
SELECT the option with the “+”.
DRILL: Practice questions.
T
Determine the type of stem.
There are two types of multiple choice
question stems:
A true-response stem.
A false-response stem.
In true-response stem , the answer is true
regarding the case scenario.
Key words in a true-response stem
include:
• Most or most appropriate
• Most likely
• Best judgment
Other key words include:
• Initial
• First
• Chief
• Immediate
False-response stem uses key words that
ask for an answer that is NOT true
regarding the case scenario.
Key words include:
• Least likely
• Need for further instructions or education
• Lowest priority
Other key words include:
• Incorrect
• Unsafe
• Except, not, or avoid
Determine who the client is.
The client is the person of focus.
The client may be:
• The person with the health problem
• A relative
• A friend
• A spouse or significant other
• A roommate
• A member of the health care team
DRILL: Practice Questions (Determine
who the client is)
Determine what the issue is.
The issue is the specific subject content
that the question is asking about.
The issue may include:
• A medication or intravenous (IV) therapy
• A side effect of a medication
• An adverse or toxic effect of a medication
• A treatment or a procedure
• A complication of a health care problem,
treatment, or procedure
• A specific nursing action
DRILL: Practice questions (Determine
who the client is).
Identify the key words.
Common key words:
• Early or late
• Best
• First
• Initial
• Immediately
• Most likely or least likely
Most appropriate or least appropriate
On the day of
After several days
Key words are important to identify
because they will assist in eliminating the
incorrect options.
Some of the key words may indicate that
all of the options are correct.
It will be necessary to prioritize in order to
select the correct option.
Drill: Practice Question (Identify the key
words).
Determine the type of stem.
Determine who the client is.
Determine what the issue is.
Identify key words.

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The client is key