Soap note subjective - Study guides, Class notes & Summaries
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Advanced Physical Assessment Midterm
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Advanced Physical Assessment Midterm 
list and describe general guidelines for recording information r/t health hx documentation 
organize, synthesize, record the data, record problems, record plan. take brief notes during exam, 
document full recording asap, dont use abbreviations, write what the pt tells you, not what you 
perceive. record expected/unexpected findings. 
what is a soap note? 
commonly used process to organize pt data obtained during the exam 
what are the components of a soap...
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Practice Questions for NCLEX-PN (Delmar's Practice Questions for Nclex-Pn
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Questions You Might Have About the Examination 
The practice of nursing is regulated by the states to assure the public that only those nurses who have the necessary knowledge and skills are licensed to practice. One requirement for becoming a licensed practical/vocational nurse (LPN/LVN) is graduation from an approved school of practical/vocational nursing. Another requirement is passing an examination. All of the states have agreed to use the same 
®® 
examination, NCLEX-PN . The NCLEX-PN is...
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SLPA NC BOARD EXAM MOCK QUESTIONS & answers 2023 verified
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SLPA NC BOARD EXAM MOCK QUESTIONS & answers 2023 verifiedWhat are the 5 Objectives of Intervention? - correct answer 1. Client should ahow improvement not just in a clincial setting; Progress should be generalized to real-world environments. 
2. Should be automatic 
3. Should be self-monitered 
4. Shoul make optimum progress in minimum amount of time 
5. Interventionshould be sensitive to personal and cultural characteristics. 
 
What is a treatment protocol? - correct answer Written guideline t...
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Advanced Health Assessment Exam with Correct Solutions
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Advanced Health Assessment Exam with 
Correct Solutions 
What is the name of the format commonly used to organize data obtained during the history and 
physical examination? - Answer -Problem-Oriented Medical Record 
What are the components of a SOAP note? - Answer -S = subjective 
O = objective 
A = assessment 
P = plan 
In which section of a SOAP note does the following information belong: 
Patient's heart rate is 72 - Answer -Objective 
In which section of a SOAP note does the following info...
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NCTRC Exam Study 1 Questions with complete solution
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NCTRC Exam Study 1 Questions with complete solution NCTRC Exam Study 
 
 
SOAP Note - correct answer Subjective, Objective, Assessment, Plan. Covers changes in symptoms, c/o, physical findings, new developments, current formulation and plan for patient. 
 
Errors - correct answer Crossed with a single line, write "ERROR", initial. DO NOT scribble out! 
 
Needs Assessment - correct answer A systematic process used to gather information about a given individual or community. Should include a des...
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NR 606 Midterm Exam Questions and Answers Latest 2024/2025 | 100% Correct Answers.
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NR 606 Midterm Exam Questions and Answers Latest 2024/2025 | 100% Correct Answers. Before modifying a care plan to meet a patient's changing needs, the nurse'sfirst action should be to: 
A. re-do the entire care plan 
B. focus only on the nursing diagnoses with moderate priority 
C. assess/reassess the patient's responses to interventions 
D. add more nursing interventions from a standardized plan of care: C. assess/reassess the patient's responses to interventions 
2. True or False: Actual ...
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Scribe America Outpatient Final Exam 2023 with complete solution
- Exam (elaborations) • 17 pages • 2023
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subjective vs objective 
feeling vs fact 
 
 
 
pain vs tenderness 
patients feeling vs physicians assessment 
 
 
 
benign 
normal, nothing of concern 
 
 
 
acute vs chronic 
new onset vs long standing 
 
 
 
baseline 
an individuals normal state of being 
 
 
 
ausculation 
listening to sound with a stethoscope 
 
 
 
palpation 
act of pressing on an area (by the physician) 
 
 
 
inpatient 
admitted to the hospital overnight 
 
 
 
outpatient 
seen and sent home the same day 
 
 
 
chief com...
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NUR 6111-800 SOAP NOTE CARDIOVASCULAR PATIENT LIAM FITZGERALD SUBJECTIVE CC “ROUTINE FOLLOW UP FOR HIS CHRONIC CONDITIONS” LATEST REVIEW 2024-2025.
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NUR 6111-800 SOAP NOTE CARDIOVASCULAR PATIENT LIAM FITZGERALD SUBJECTIVE CC “ROUTINE FOLLOW UP FOR HIS CHRONIC CONDITIONS” LATEST REVIEW .
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OTD 570 PhysDys EWOK (Final) Exam Questions with Correct Answers
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What does SOAP stand for? Correct Answer subjective, objective, assessment, plan 
 
What level of assist: patient does 75% of work Correct Answer min assist 
 
What level of assist: patient does 50-75% of work Correct Answer moderate assist 
 
What level of assist: patient does 25-49% of work Correct Answer max assist 
 
What level of assist: patient does less than 25% of work Correct Answer dependent 
 
What part of SOAP note: Record the information conveying the client's perspective on his/he...
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NR606 Midterm Exam Questions and Answers Graded A 2024
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Before modifying a care plan to meet a patient's changing needs, the nurse's first action should be to: 
A. re-do the entire care plan 
B. focus only on the nursing diagnoses with moderate priority 
C. assess/reassess the patient's responses to interventions 
D. add more nursing interventions from a standardized plan of care - C. assess/reassess the patient's responses to interventions 
 
True or False: Actual or potential health problems that can be prevented or resolved by dependent nursin...
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