When writing a soap note - Study guides, Class notes & Summaries

A hospital utilizes the SOAP method of charting. Within this model, which of the nurse's following statements would appear at the beginning of a charting entry? - ANSWER-Client complaining of abdominal pain rated at 8/10. A nurse organizes client data using the SOAP format. Which of the following would be recorded under "S" of this acronym? - ANSWER-Client complaints of pain Which note includes all elements of a SOAP note? - ANSWER-Client reports nausea, including one episode of nausea ...

Advanced Health Assessment Quizzes 1-4 QUESTIONS & ANSWERS 2024 ( A+ GRADED 100% VERIFIED)

Week 1: Quiz Attempt History Attempt Time Score LATEST Attempt 1 14 minutes 15 out of 15 Which of the following statements about Medicaid is true? Medicaid pays for family planning serv ices, dental care, and eyeglasses. Eligibility requirements for Medicaid are mandated by the Health Care Financing Administration. Medicaid is a federal plan created to provide care for indigent persons. Medicaid is a program for the indigent financed jointly by the federal and state governments. Financed jointly...

What is a SOAP Note? A SOAP note is a ________, organized way to chart, assess, and plan for a patient - correct answer concise Used in health care setting: -oral presentations -documenting in charts What does S.O.A.P. stand for? - correct answer S= Subjective (interpretation; not medical advice) O= Objective (everything that is in the patient's medical chart--if you can read it in a patien...

* What medical term describes the surgical removal of the gallbladder? - Answer-cholecystectomy What does "PHI" stand for? Expand the abbreviation. - Answer-Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. - Answer-False ** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you record into the chart? - Answer-craniotomy A patient's P...

Scribe America Final Exam Questions With 100% Verified Answers. What does "PHI" stand for? Expand the abbreviation. (Remember: do not include any extra spaces before or after the term/phrase) - answerProtected Health Information What medical term describes the surgical removal of the gallbladder? (Remember: when typing your answer, do not include any extra spaces before or after the term/phrase. For example: Correct way "Good luck" vs incorrect " good luck ".) - answerCholecystectomy...

What is a SOAP Note? - correct answer Commonly utilized format for documentation in patient medical record Components of SOAP Note - correct answer S - Subjective O - Objective A - Assessment P - Plan What are the 3 steps in writing a SOAP note? - correct answer 1. Collect patient data 2. Analyze available information 3. Formulate an assessment ...

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scribeamerica Outpatient Final exam with answers 2024 complete update What does "PHI" stand for? Expand the abbreviation - answer What medical term describes the surgical removal of the gallbladder? - answer T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case - A patient's PCP is on vacation. The patient is scheduling to see the NP who is covering for the PCP during this t...

CPOE reduces transcription errors - A group of nurses are discussing the advantages of using computerized provider order entry (CPOE). Which statements indicate that the nurses understand the major advantage of using CPOE? the patient had two cups of soup and it was tolerated well - The primary healthcare provider orders a clear liquids diet for a patient with gastritis. On the first day, the patient consumes soup and tolerates it well. How does the nurse document this finding? enter only ...