A newly hired nurse is participating in the orientation program for the health care facility. Part of the orientation focuses on the use of the SOAP (subjective, objective, assessment, and plan) method for documentation, which the facility uses
The nurse demonstrates understanding of this method by identifying which of the following as the first step?
A) Plan of care
B) Data, action, and response
C) Problem selected
D) Nursing activities during a shift
Ans: C
The SOAP method begins by selecting a problem from a list. PIE (problems, interventions, and evaluation) notes incorporate the plan of care into the progress notes. Focus DAR notes organizes entries by data, action, and response. The narrative notes are used to record relevant client and nursing activities throughout a shift.
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