NURS 5220 SOAP NOTE ASSIGNMENT 1 |
2026 UPDATED | WITH COMPLETE
SOLUTIONS GRADED A+
Which section of the SOAP note outlines the proposed course of action for a
patient's care? - ANSWER Plan
In a SOAP note, where would you document the synthesis of the subjective and
objective data, leading to a conclusion about the patient's problem? -
ANSWER Assessment
The problem list, along with the patient's progress toward goals, is typically
documented in which component of the SOAP note? - ANSWER Assessment
If a physician concludes that a patient has 'viral pharyngitis' based on their
examination, this diagnosis belongs in which section of the SOAP note? -
ANSWER Assessment
The healthcare provider's interpretation of the patient's current health status,
including differential diagnoses, is found in which part of the SOAP note? -
ANSWER Assessment
, Which section of the SOAP note includes the physician's diagnosis and clinical
impression of the patient's condition? - ANSWER Assessment
Observations made by the clinician during the patient encounter, like skin color or
swelling, are documented in which section? - ANSWER Objective
The findings from a neurological exam, such as reflexes and strength, are recorded
in which part of a SOAP note? - ANSWER Objective
Measurements like weight, height, and body mass index (BMI) belong in which
section of the SOAP note? - ANSWER Objective
In which part of the SOAP note are laboratory results and imaging findings
recorded? - ANSWER Objective
Where would you document the results of a physical examination? -
ANSWER Objective
Which section of a SOAP note includes vital signs such as blood pressure and
heart rate? - ANSWER Objective
Which part of the SOAP note contains the patient's social history, including
lifestyle habits and living situation, as told by them? - ANSWER Subjective
In which section of a SOAP note would past medical history, as reported by the
patient, be documented? - ANSWER Subjective
, If a patient states they feel 'tired all the time' and have been experiencing this for
two weeks, in which section of the SOAP note would this information belong? -
ANSWER Subjective
A patient reports difficulty sleeping and expresses concerns about their stress
levels. Which section of the SOAP note captures these patient statements? -
ANSWER Subjective
The patient describes their family medical history during the interview. Which
section of the SOAP note is appropriate for this information? -
ANSWER Subjective
What section of a SOAP note would include the patient's chief complaint and
history of present illness? - ANSWER Subjective
What are the six components of the Plan? - ANSWER Additional testing,
Consults, Therapeutic Modalities, Health Promotion, Patient Education, Follow-up.
Key principle of treatment plans - ANSWER Every diagnosis addressed should
have a treatment plan.
Additional Diagnostic Testing Includes - ANSWER Laboratory studies and
imaging.
Consults May Include - ANSWER Specialists, Physical Therapy, Occupational
Therapy, Speech Therapy, and counselors.
, Example consult for shoulder pain - ANSWER Orthopedic referral.
What is included under therapeutic modalities? - ANSWER Pharmacologic and
nonpharmacologic treatments.
What medication details must be documented? - ANSWER Name, dose, route,
frequency, and duration.
Examples of medication changes - ANSWER Starting, stopping, or adjusting
medication dosage.
Examples of nonpharmacologic treatments - ANSWER Weight loss, exercise,
smoking cessation, relaxation, dietary changes, fluids, rest, RICE.
Examples of monitoring parameters - ANSWER Blood pressure and blood
glucose.
Health Promotion Focus - ANSWER Address modifiable and nonmodifiable
risk factors.
Examples of modifiable risk factors - ANSWER Smoking, poor diet, physical
inactivity.
Disease Prevention Includes - ANSWER Preventive screenings and
immunization review.
2026 UPDATED | WITH COMPLETE
SOLUTIONS GRADED A+
Which section of the SOAP note outlines the proposed course of action for a
patient's care? - ANSWER Plan
In a SOAP note, where would you document the synthesis of the subjective and
objective data, leading to a conclusion about the patient's problem? -
ANSWER Assessment
The problem list, along with the patient's progress toward goals, is typically
documented in which component of the SOAP note? - ANSWER Assessment
If a physician concludes that a patient has 'viral pharyngitis' based on their
examination, this diagnosis belongs in which section of the SOAP note? -
ANSWER Assessment
The healthcare provider's interpretation of the patient's current health status,
including differential diagnoses, is found in which part of the SOAP note? -
ANSWER Assessment
, Which section of the SOAP note includes the physician's diagnosis and clinical
impression of the patient's condition? - ANSWER Assessment
Observations made by the clinician during the patient encounter, like skin color or
swelling, are documented in which section? - ANSWER Objective
The findings from a neurological exam, such as reflexes and strength, are recorded
in which part of a SOAP note? - ANSWER Objective
Measurements like weight, height, and body mass index (BMI) belong in which
section of the SOAP note? - ANSWER Objective
In which part of the SOAP note are laboratory results and imaging findings
recorded? - ANSWER Objective
Where would you document the results of a physical examination? -
ANSWER Objective
Which section of a SOAP note includes vital signs such as blood pressure and
heart rate? - ANSWER Objective
Which part of the SOAP note contains the patient's social history, including
lifestyle habits and living situation, as told by them? - ANSWER Subjective
In which section of a SOAP note would past medical history, as reported by the
patient, be documented? - ANSWER Subjective
, If a patient states they feel 'tired all the time' and have been experiencing this for
two weeks, in which section of the SOAP note would this information belong? -
ANSWER Subjective
A patient reports difficulty sleeping and expresses concerns about their stress
levels. Which section of the SOAP note captures these patient statements? -
ANSWER Subjective
The patient describes their family medical history during the interview. Which
section of the SOAP note is appropriate for this information? -
ANSWER Subjective
What section of a SOAP note would include the patient's chief complaint and
history of present illness? - ANSWER Subjective
What are the six components of the Plan? - ANSWER Additional testing,
Consults, Therapeutic Modalities, Health Promotion, Patient Education, Follow-up.
Key principle of treatment plans - ANSWER Every diagnosis addressed should
have a treatment plan.
Additional Diagnostic Testing Includes - ANSWER Laboratory studies and
imaging.
Consults May Include - ANSWER Specialists, Physical Therapy, Occupational
Therapy, Speech Therapy, and counselors.
, Example consult for shoulder pain - ANSWER Orthopedic referral.
What is included under therapeutic modalities? - ANSWER Pharmacologic and
nonpharmacologic treatments.
What medication details must be documented? - ANSWER Name, dose, route,
frequency, and duration.
Examples of medication changes - ANSWER Starting, stopping, or adjusting
medication dosage.
Examples of nonpharmacologic treatments - ANSWER Weight loss, exercise,
smoking cessation, relaxation, dietary changes, fluids, rest, RICE.
Examples of monitoring parameters - ANSWER Blood pressure and blood
glucose.
Health Promotion Focus - ANSWER Address modifiable and nonmodifiable
risk factors.
Examples of modifiable risk factors - ANSWER Smoking, poor diet, physical
inactivity.
Disease Prevention Includes - ANSWER Preventive screenings and
immunization review.
