NRP/571: Advanced Health Assessment II and Clinical
Procedures
Craig Harris Episodic SOAP Note and Reflection
Complete Solution Document — Version 3 | Latest 2025/2026 Update
Cover Page
Field Information
Student Name [Your Name]
Course NRP/571: Advanced Health Assessment II and Clinical Procedures
University University of Phoenix
Assignment Week 2: Craig Harris Episodic SOAP Note and Reflection
Date of Submission [Insert Date]
Faculty [Insert Faculty Name]
Assignment Overview
This signature assignment comprises two graded components:
1. Episodic SOAP Note — Complete documentation of a patient encounter using
the SOAP format. The assessment and plan sections are not graded but must be
, completed for a full note. You must also list appropriate ICD-10 codes and E&M
codes using the diagnoses provided.
2. Reflection — A 700-word reflection providing rationale for your completed
SOAP note, including:
o 5 open-ended questions asked during the HPI with rationale for each
o Minimum of 3 rationales for physical exam components performed
o Summary of a current evidence-based article relating to each diagnosis
o Identification of 2 barriers to quality healthcare the patient may
experience and how you, as the FNP, would address them
o Minimum of 2 peer-reviewed articles cited in APA format
PART 1: EPISODIC SOAP NOTE
SUBJECTIVE
ID: Craig Harris
DOB: 02/14/1941
DOS: 9/1/19
CC: Benign prostatic hyperplasia (BPH)
History of Present Illness (HPI)
Craig Harris is a 78-year-old male nursing home resident who presents with hesitancy in
starting urinary stream, decreased force of the urinary stream, post-void dribbling,
nocturia, and left lower quadrant (LLQ) abdominal pain for the past two weeks. The pain
is dull, rated 3/10 when sitting and 8/10 when voiding or trying to defecate. Pain feels
better when lying down. He does not feel like he empties his bladder with each
urination. He also has problems with constipation; his last BM was one week ago on
Monday night and was a normal bowel movement. The caregiver who brought him is
asking if it would be all right to prescribe MiraLAX® to help relieve the constipation.
Past Medical History (PMH)
, • Benign prostatic hyperplasia (BPH)
Medications
• Not specified in the scenario
Allergies
• Not specified in the scenario
Social History
• Nursing home resident
Review of Systems (ROS)
System Findings
General No fever, chills, or weight loss reported
Genitourinary Hesitancy, decreased force, post-void dribbling, nocturia, incomplete bladder emptyi
Gastrointestinal Constipation, LLQ pain, last BM one week ago
Neurological AAOX3, not suicidal, good judgement, CN I–XII intact
OBJECTIVE
Vital Signs
• Respirations: 14, regular and unlabored
Procedures
Craig Harris Episodic SOAP Note and Reflection
Complete Solution Document — Version 3 | Latest 2025/2026 Update
Cover Page
Field Information
Student Name [Your Name]
Course NRP/571: Advanced Health Assessment II and Clinical Procedures
University University of Phoenix
Assignment Week 2: Craig Harris Episodic SOAP Note and Reflection
Date of Submission [Insert Date]
Faculty [Insert Faculty Name]
Assignment Overview
This signature assignment comprises two graded components:
1. Episodic SOAP Note — Complete documentation of a patient encounter using
the SOAP format. The assessment and plan sections are not graded but must be
, completed for a full note. You must also list appropriate ICD-10 codes and E&M
codes using the diagnoses provided.
2. Reflection — A 700-word reflection providing rationale for your completed
SOAP note, including:
o 5 open-ended questions asked during the HPI with rationale for each
o Minimum of 3 rationales for physical exam components performed
o Summary of a current evidence-based article relating to each diagnosis
o Identification of 2 barriers to quality healthcare the patient may
experience and how you, as the FNP, would address them
o Minimum of 2 peer-reviewed articles cited in APA format
PART 1: EPISODIC SOAP NOTE
SUBJECTIVE
ID: Craig Harris
DOB: 02/14/1941
DOS: 9/1/19
CC: Benign prostatic hyperplasia (BPH)
History of Present Illness (HPI)
Craig Harris is a 78-year-old male nursing home resident who presents with hesitancy in
starting urinary stream, decreased force of the urinary stream, post-void dribbling,
nocturia, and left lower quadrant (LLQ) abdominal pain for the past two weeks. The pain
is dull, rated 3/10 when sitting and 8/10 when voiding or trying to defecate. Pain feels
better when lying down. He does not feel like he empties his bladder with each
urination. He also has problems with constipation; his last BM was one week ago on
Monday night and was a normal bowel movement. The caregiver who brought him is
asking if it would be all right to prescribe MiraLAX® to help relieve the constipation.
Past Medical History (PMH)
, • Benign prostatic hyperplasia (BPH)
Medications
• Not specified in the scenario
Allergies
• Not specified in the scenario
Social History
• Nursing home resident
Review of Systems (ROS)
System Findings
General No fever, chills, or weight loss reported
Genitourinary Hesitancy, decreased force, post-void dribbling, nocturia, incomplete bladder emptyi
Gastrointestinal Constipation, LLQ pain, last BM one week ago
Neurological AAOX3, not suicidal, good judgement, CN I–XII intact
OBJECTIVE
Vital Signs
• Respirations: 14, regular and unlabored
