with Complete Solution - University of Texas,
Arlington
SOAP Note
Department of Graduate Nursing
University of Texas at Arlington College of Nursing
NURS 5220-401 Advanced Health Assessment
Toshia McKeon, APRN, MSN, CPNP
January 30th, 2026
, SOAP Note Form
Family Hx:
S/ Identifying Information: (initials, age/DOB, gender, reliability)
A.J. is a 15 year old female presents to the clinic with her mother who is a Dad (alive)
reliable source. has a high-stress
job and
hypertension, on
medications.
Mom (alive)
stays at home
mom, has weight
issues but overall
no meds and
(healthy).
Siblings
one in college,
girl, +weight
issues and
overall healthy.
brother (senior in
high school, is
looking at going
away to school,
(healthy).
Mom states no
mental health
concerns in the
family, denies
diabetes,
exposure to
communicable
diseases, no
recent travel
outside of the
US, no smokers,
no stroke, lung
disease, or
asthma, no blood
disorders,
seizures,