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Exam (elaborations)

Soap Note Complete Exam Review With Full Solutions

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SOAP NOTE COMPLETE EXAM REVIEW WITH FULL SOLUTIONS

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SOAP NOTE COMPLETE EXAM REVIEW
WITH FULL SOLUTIONS

●● What does the O in SOAP stand for
Answer: Objective: Documents and traceable facts about the patients
status


●● What does A in SOAP stand for
Answer: Assessment: the physicians medical diagnosis on the given date
the SOAP note was written


●● What does the P in SOAP stand for
Answer: Plan: describes what the health care provider will do to treat the
patient


●● What does "good writing" include
Answer: Logical organization
Attention to detail
Complete accuracy


●● Why do we use SOAP notes

, Answer: SOAP notes help pass along information for when patient care
switches from one person to another. It also provides guidance for future
encounters


●● What should NEVER be in a SOAP note
Answer: Patient identifiable information: name, bday, SSN, phone #,
hospital id #, address


●● Must be neat and legible
Answer: True


●● Must use correct spelling and grammar
Answer: True


●● Quote patients words accurately
Answer: true


●● Don't sign name and title
Answer: false


●● Use objective observations
Answer: true

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