NSG 6430 WEEK 1 SOAP NOTE FINAL TEST
2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ Client exhibited improved awareness of hip precautions during toilet
transfers, requiring zero verbal cues.
Answer: example of progress in assessment note
◍ Client used hand gestures to indicate he was tired and needed a break after
donning his shirt.
Answer: example of subjective note
◍ Nipple Inversion..
Answer: This involves uni- or bilateral retraction of the nipple that is not
reversible. It is common in newborns. The condition generally resolves
within a few days of birth; if persistent from birth, patients can be reassured
that this is a normal variant. Treatment involves reassurance; surgeryis
needed only for chronic infections.
◍ What is most linear growth contributed to?.
Answer: Growth hormone and its feedback loop
◍ Parent education teenagers.
Answer: Parents should openly express their opinions concerning the
appropriate time for their child to become sexually active, discuss rules
about dating and curfews, and review contraception and disease prevention.
Sexual values should be taught along with other values. Sexually
responsible behavior is part of the overall assumption of adult responsibility.
◍ Resident participated in a 45-minute OT session at bedside for skilled
instruction in compensatory techniques for upper body dressing.
Answer: example of objective note
,◍ Estrogen..
Answer: Estradiol from the ovary accounts for the majority of the circulating
estrogens, although there is a small amount of extraovarian conversion from
androstenedione and testosterone. In addition to stimulating breast growth
and maturation of the vaginal mucosa, estrogen has been found to have a
major impact on the skeleton, being the primary hormone responsible for
epiphyseal closure.
◍ History(p. 33).
Answer: A comprehensive history is the most important aspect of the
preventive services evaluation. Essential domains include past medical
history, family history, psychosocial history, and an age-appropriate review
of systems. Any current health concerns should also be sought.
◍ Identity Development in late adolescence.
Answer: (1) the development of a rational and realistic conscience; (2) the
development of a sense of perspective, with the abilities to delay,
compromise, and set limits; (3) the development of practical vocational
goals and the beginning of financial independence; (4) further refinement of
moral, religious, and sexual values.
◍ Deficits in fine motor tripod grasps result in limits to meal preparatory
tasks..
Answer: example of problem in assessment note
◍ Pelvic Examination (Female)..
Answer: "Annual" pelvic examination and PAP screening are now
recommended beginning 3 years after coitarche or age 21, whichever comes
earlier. Annual screening for STDs is clearly recommended for sexually
active female patients
◍ Client participated in a 30-minute OT session in the outpatient hand clinic to
address R hand strengthening and scar desensitization in preparation for
hand tool use for work in construction..
Answer: example of objective note for preparatory task
,◍ Macromastia..
Answer: Another extreme of normal development includes macromastia, its
further extreme is gigantomastia, or virginal/juvenile hypertrophy. Inpatients
with juvenile hypertrophy, pendulous breasts can reach 30 to 50 pounds.
This disorder includes unilateral or bilateral excessive breast growth. While
the etiology is unknown, the condition may represent an abnormal response
of breast tissue to normal hormonal stimulation. There is a strong
association with family history and obesity. Adults usually present with
complaints of back and shoulder pain and limited activity, while adolescents
tend to focus on the issues related to self-image and social and athletic
limitations. No definite therapeutic guidelines have been developed.
Although it is preferable to delay surgery until the breasts have fully
matured, this may not be practical in some adolescents if their breast size is
unbearable. Treatment options include surgery with reduction mastopexy.
Other approaches include hormonal treatment with medroxyprogesterone,
dydrogesterone, danazol, or a combination of medications and surgery.
◍ How often should parents/caregivers receive.
Answer: at least once during their child's early adolescence, once during
middle adolescence, and preferably once during late adolescence.
◍ Peer Group Involvement MIDDLE ADOLESCENCE (APPROXIMATE
AGES 14-16).
Answer: (1) intense involvement with the peer subculture; (2) conformity
with peer values, codes, and dress in an attempt to further separate from
family; (3) increased involvement in partnering relations, manifest by dating
activity, sexual experimentation, and intercourse; (4) involvement with
clubs, team sports, gangs, and other groups. Friends are the primary source
of influence on young people's behavior, but peer pressures are often
overstated. Adolescents' reactions to peer pressure are extremely varied, and
peer pressure can also involve a desire to excel in school, sports, or other
positive activities.
◍ Identity Development in middle adolescents.
, Answer: (1) increased scope and openness of feelings, (2) increased
intellectual ability and creativity, (3) less idealistic vocational aspirations,
and (4) a feeling of omnipotence and immortality, leading to risk-taking
behavior.
◍ IMMUNIZATIONS.
Answer: The current immunization schedule is available at
http://www.cdc.gov.
◍ Pneumococcal Vaccine.
Answer: Pneumococcal vaccine is indicated for individuals with a chronic
illness, particularly of the cardiovascular or pulmonary system. It is also
indicated for those who are at increased risk of pneumococcal disease,
including patients with nephrotic syndrome, sickle cell disease, asplenia or
functional asplenia, HIV infection, or B-cell immune deficiency, as well as
patients at risk for meningitis. The duration of immunity is unclear, and
revaccination is not currently recommended by the CDC;
◍ Body Image Concerns in middle adolescents.
Answer: -Most middle adolescents, having experienced most of their
pubertal changes, are less preoccupied with these changes.-Eating disorders
may become established during this developmental phase.
◍ Patient asked for help when it was needed during the session.
Answer: example of subjective note
◍ Client reports R shoulder pain when he tries to put the shirt on.
Answer: example of subjective note
◍ Client is struggling to make progress toward her goal of identifying triggers
or past experiences that contribute to her feelings of guilt, as she requires
redirection to provide relevant examples and/or to clarify her comments..
Answer: example of progress
◍ "Client demonstrates excellent potential for improving safety and
independence with tub transfers with training in use of tub transfer bench
due to improved balance and the need for less assistance during this
2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ Client exhibited improved awareness of hip precautions during toilet
transfers, requiring zero verbal cues.
Answer: example of progress in assessment note
◍ Client used hand gestures to indicate he was tired and needed a break after
donning his shirt.
Answer: example of subjective note
◍ Nipple Inversion..
Answer: This involves uni- or bilateral retraction of the nipple that is not
reversible. It is common in newborns. The condition generally resolves
within a few days of birth; if persistent from birth, patients can be reassured
that this is a normal variant. Treatment involves reassurance; surgeryis
needed only for chronic infections.
◍ What is most linear growth contributed to?.
Answer: Growth hormone and its feedback loop
◍ Parent education teenagers.
Answer: Parents should openly express their opinions concerning the
appropriate time for their child to become sexually active, discuss rules
about dating and curfews, and review contraception and disease prevention.
Sexual values should be taught along with other values. Sexually
responsible behavior is part of the overall assumption of adult responsibility.
◍ Resident participated in a 45-minute OT session at bedside for skilled
instruction in compensatory techniques for upper body dressing.
Answer: example of objective note
,◍ Estrogen..
Answer: Estradiol from the ovary accounts for the majority of the circulating
estrogens, although there is a small amount of extraovarian conversion from
androstenedione and testosterone. In addition to stimulating breast growth
and maturation of the vaginal mucosa, estrogen has been found to have a
major impact on the skeleton, being the primary hormone responsible for
epiphyseal closure.
◍ History(p. 33).
Answer: A comprehensive history is the most important aspect of the
preventive services evaluation. Essential domains include past medical
history, family history, psychosocial history, and an age-appropriate review
of systems. Any current health concerns should also be sought.
◍ Identity Development in late adolescence.
Answer: (1) the development of a rational and realistic conscience; (2) the
development of a sense of perspective, with the abilities to delay,
compromise, and set limits; (3) the development of practical vocational
goals and the beginning of financial independence; (4) further refinement of
moral, religious, and sexual values.
◍ Deficits in fine motor tripod grasps result in limits to meal preparatory
tasks..
Answer: example of problem in assessment note
◍ Pelvic Examination (Female)..
Answer: "Annual" pelvic examination and PAP screening are now
recommended beginning 3 years after coitarche or age 21, whichever comes
earlier. Annual screening for STDs is clearly recommended for sexually
active female patients
◍ Client participated in a 30-minute OT session in the outpatient hand clinic to
address R hand strengthening and scar desensitization in preparation for
hand tool use for work in construction..
Answer: example of objective note for preparatory task
,◍ Macromastia..
Answer: Another extreme of normal development includes macromastia, its
further extreme is gigantomastia, or virginal/juvenile hypertrophy. Inpatients
with juvenile hypertrophy, pendulous breasts can reach 30 to 50 pounds.
This disorder includes unilateral or bilateral excessive breast growth. While
the etiology is unknown, the condition may represent an abnormal response
of breast tissue to normal hormonal stimulation. There is a strong
association with family history and obesity. Adults usually present with
complaints of back and shoulder pain and limited activity, while adolescents
tend to focus on the issues related to self-image and social and athletic
limitations. No definite therapeutic guidelines have been developed.
Although it is preferable to delay surgery until the breasts have fully
matured, this may not be practical in some adolescents if their breast size is
unbearable. Treatment options include surgery with reduction mastopexy.
Other approaches include hormonal treatment with medroxyprogesterone,
dydrogesterone, danazol, or a combination of medications and surgery.
◍ How often should parents/caregivers receive.
Answer: at least once during their child's early adolescence, once during
middle adolescence, and preferably once during late adolescence.
◍ Peer Group Involvement MIDDLE ADOLESCENCE (APPROXIMATE
AGES 14-16).
Answer: (1) intense involvement with the peer subculture; (2) conformity
with peer values, codes, and dress in an attempt to further separate from
family; (3) increased involvement in partnering relations, manifest by dating
activity, sexual experimentation, and intercourse; (4) involvement with
clubs, team sports, gangs, and other groups. Friends are the primary source
of influence on young people's behavior, but peer pressures are often
overstated. Adolescents' reactions to peer pressure are extremely varied, and
peer pressure can also involve a desire to excel in school, sports, or other
positive activities.
◍ Identity Development in middle adolescents.
, Answer: (1) increased scope and openness of feelings, (2) increased
intellectual ability and creativity, (3) less idealistic vocational aspirations,
and (4) a feeling of omnipotence and immortality, leading to risk-taking
behavior.
◍ IMMUNIZATIONS.
Answer: The current immunization schedule is available at
http://www.cdc.gov.
◍ Pneumococcal Vaccine.
Answer: Pneumococcal vaccine is indicated for individuals with a chronic
illness, particularly of the cardiovascular or pulmonary system. It is also
indicated for those who are at increased risk of pneumococcal disease,
including patients with nephrotic syndrome, sickle cell disease, asplenia or
functional asplenia, HIV infection, or B-cell immune deficiency, as well as
patients at risk for meningitis. The duration of immunity is unclear, and
revaccination is not currently recommended by the CDC;
◍ Body Image Concerns in middle adolescents.
Answer: -Most middle adolescents, having experienced most of their
pubertal changes, are less preoccupied with these changes.-Eating disorders
may become established during this developmental phase.
◍ Patient asked for help when it was needed during the session.
Answer: example of subjective note
◍ Client reports R shoulder pain when he tries to put the shirt on.
Answer: example of subjective note
◍ Client is struggling to make progress toward her goal of identifying triggers
or past experiences that contribute to her feelings of guilt, as she requires
redirection to provide relevant examples and/or to clarify her comments..
Answer: example of progress
◍ "Client demonstrates excellent potential for improving safety and
independence with tub transfers with training in use of tub transfer bench
due to improved balance and the need for less assistance during this
