Describe the makeup of a SOAP note.
What will be an ideal response?
Answers will vary. These are ways to organize information for charting. When you want to make an entry using SOAP, include the following:Subjective data: the patient's complaints and feelings in his or her own words.
Objective data: your own observations or measurements (e.g., blood pressure, appetite).
Assessment: an interpretation of the patient's condition.
Plan: specific orders, such as treatments, diagnostic tests, medications or patient education, that will help the patient's current problem.
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During a therapy session, a client is asked to respond to a word with the first word or phrase that comes to mind. What term is commonly used to refer to this technique?
a. Transference relationship b. Dream analysis c. Free association d. Psychoanalysis
The nurse is assessing a patient who is 3 months pregnant. Which breast changes would the nurse expect to assess in this patient?
A) Enlarged lymph nodes B) Slack, soft breast tissue C) Deeply fissured nipples D) Darkened breast areolae
A chief nursing officer (CNO) is concerned about the ongoing nursing shortage and wants to implement strategies to keep it from getting worse. Which action by the CNO would best meet this goal?
a. Create a career ladder for registered nurses. b. Institute an across-the-board wage hike. c. Offer tuition reimbursement at area colleges. d. Provide perks, such as unit holiday parties.
A nurse follows a physician's order to administer an oil retention enema to a constipated adult patient. Which of the following is a recommended guideline for this procedure?
A) Put on sterile gloves to perform the procedure. B) Slowly and gently insert rectal tube 4 to 6 inches. C) Direct the rectal tube at an angle pointing toward the umbilicus. D) Instruct the patient to retain the enema solution for at least 45 minutes.