NUR 280 Comprehensive Review
Comp 1 Exam – Official Academic
Board of Nursing – 2026/2027
Question 1
The nurse is obtaining a family health history when the client reports that a
grandparent has type 1 diabetes. Where can the nurse document this information?
A) Present health/illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model
Answer: B) Family Genogram
Rationale: A family genogram is a pictorial representation of family relationships
and medical history across generations. It is the appropriate place to document
family history of diseases such as type 1 diabetes, as it helps identify genetic risk
factors and patterns of inheritance .
Question 2
The nurse is interviewing a patient with acute pain. Which of the following actions
by the nurse should be performed first?
,A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview
Answer: A) Attempt to reduce the pain and complete the interview later
Rationale: Pain is a priority concern that can interfere with effective
communication and data collection. The nurse should address the patient's
immediate discomfort first, as acute pain can impair the patient's ability to provide
accurate information and participate in the interview process .
Question 3
The nurse is interviewing her patient. The nurse says to the client "It sounds like you
do not like your new job because it is more stressful than you anticipated." Which
of the following types of communication is the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening
Answer: B) Paraphrasing
Rationale: Paraphrasing involves restating the client's message in the nurse's own
words to confirm understanding and encourage further exploration. This
therapeutic communication technique demonstrates active listening and validates
the client's feelings .
, Question 4
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.
Rationale: While note-taking is necessary for documentation, it can interfere with
the nurse's ability to observe nonverbal cues such as facial expressions, posture,
and gestures. This is why many skilled interviewers prefer to take brief notes and
expand them after the interview .
Question 5
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
Comp 1 Exam – Official Academic
Board of Nursing – 2026/2027
Question 1
The nurse is obtaining a family health history when the client reports that a
grandparent has type 1 diabetes. Where can the nurse document this information?
A) Present health/illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model
Answer: B) Family Genogram
Rationale: A family genogram is a pictorial representation of family relationships
and medical history across generations. It is the appropriate place to document
family history of diseases such as type 1 diabetes, as it helps identify genetic risk
factors and patterns of inheritance .
Question 2
The nurse is interviewing a patient with acute pain. Which of the following actions
by the nurse should be performed first?
,A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview
Answer: A) Attempt to reduce the pain and complete the interview later
Rationale: Pain is a priority concern that can interfere with effective
communication and data collection. The nurse should address the patient's
immediate discomfort first, as acute pain can impair the patient's ability to provide
accurate information and participate in the interview process .
Question 3
The nurse is interviewing her patient. The nurse says to the client "It sounds like you
do not like your new job because it is more stressful than you anticipated." Which
of the following types of communication is the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening
Answer: B) Paraphrasing
Rationale: Paraphrasing involves restating the client's message in the nurse's own
words to confirm understanding and encourage further exploration. This
therapeutic communication technique demonstrates active listening and validates
the client's feelings .
, Question 4
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.
Rationale: While note-taking is necessary for documentation, it can interfere with
the nurse's ability to observe nonverbal cues such as facial expressions, posture,
and gestures. This is why many skilled interviewers prefer to take brief notes and
expand them after the interview .
Question 5
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
