PTHA 1409 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE 2026/2027
what principle of Accuracy
documentation is true;
objective; correct spelling
and grammar
what principle of Brevity
documentation is concise
and to the point; give
enough information so as to
leave no doubt;
abbreviations may help with
brevity; use short concise
sentences.
what principle of Clarity
documentation is meaning is
,immediately clear to the
reader; do not shift tenses;
handwriting is legible.
Identify the content of the Database: current and past information
problem-oriented medical about the patient
record. Problem list: problems to be treated by
various practitioners.
Identification of a specific treatment plan
by each provider on the case.
Assessment of effectiveness of the
treatmentplan across time.
Explain the purposes of the information provided by the patient,
S-subjective in SOAP notes family, or caregiver to you. Focus on
statements related to prior function,
current level of function, reported
barriers to achieve function, and
compliance with treatment. Must be
relevant to patients'
current condition. Try not to refer to pt as
, a place, disease, or disability. Use direct
quotes to demonstrate pt denial/non-
compliance, attitude, abusive language,
or
intent to manipulate or defraud, regressive
traits. i.e., confusion or loss of memory.
Explain the purposes of the O what is done during treatment including
OBJECTIVE: in SOAP notes interventions and data collection related
to the interventions; measureable; any
activity performed by pt during treatment;
charts/tables, flowsheets,
photos/video
, Explain the purposes of the assessment of patient during and after
AA - ASSESSMENT in SOAP treatment; why does pt need to
notes continue PT, why should an insurance
company pay you to do it, how did the
pt perform during tx, how does their
performance affect their functional
status, why is your opinion regarding
pt progress?
Explain the purposes of the used to outline the plan for future
P-PLAN in SOAP notes sessions. The therapist should report on
what the pt's HEP will consist of, as
well as the steps to take in order to
reach the
functional goals. Changes to the
intervention strategy are
documented here. Questions to ask:
needs of next visit, repeat, or do tests,
treatment progression, stuff to discuss
SOLUTIONS VERIFIED LATEST UPDATE 2026/2027
what principle of Accuracy
documentation is true;
objective; correct spelling
and grammar
what principle of Brevity
documentation is concise
and to the point; give
enough information so as to
leave no doubt;
abbreviations may help with
brevity; use short concise
sentences.
what principle of Clarity
documentation is meaning is
,immediately clear to the
reader; do not shift tenses;
handwriting is legible.
Identify the content of the Database: current and past information
problem-oriented medical about the patient
record. Problem list: problems to be treated by
various practitioners.
Identification of a specific treatment plan
by each provider on the case.
Assessment of effectiveness of the
treatmentplan across time.
Explain the purposes of the information provided by the patient,
S-subjective in SOAP notes family, or caregiver to you. Focus on
statements related to prior function,
current level of function, reported
barriers to achieve function, and
compliance with treatment. Must be
relevant to patients'
current condition. Try not to refer to pt as
, a place, disease, or disability. Use direct
quotes to demonstrate pt denial/non-
compliance, attitude, abusive language,
or
intent to manipulate or defraud, regressive
traits. i.e., confusion or loss of memory.
Explain the purposes of the O what is done during treatment including
OBJECTIVE: in SOAP notes interventions and data collection related
to the interventions; measureable; any
activity performed by pt during treatment;
charts/tables, flowsheets,
photos/video
, Explain the purposes of the assessment of patient during and after
AA - ASSESSMENT in SOAP treatment; why does pt need to
notes continue PT, why should an insurance
company pay you to do it, how did the
pt perform during tx, how does their
performance affect their functional
status, why is your opinion regarding
pt progress?
Explain the purposes of the used to outline the plan for future
P-PLAN in SOAP notes sessions. The therapist should report on
what the pt's HEP will consist of, as
well as the steps to take in order to
reach the
functional goals. Changes to the
intervention strategy are
documented here. Questions to ask:
needs of next visit, repeat, or do tests,
treatment progression, stuff to discuss
