A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

Choice A reason: Identifying viruses across the world is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a function or a goal of the framework, but a task of other organizations, such as the World Health Organization or the Centers for Disease Control and Prevention.
Choice B reason: Monitoring nonmodifiable risk factors is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a focus or a priority of the framework, but a part of the assessment and evaluation of the health status and needs of the population. The framework emphasizes the social determinants of health, which are modifiable factors that affect the health and wellbeing of people and communities.
Choice C reason: Utilizing health data from the past 20 years is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a characteristic or a feature of the framework, but a method of developing and updating the framework. The framework is based on the best available evidence and data from various sources, including the previous iterations of the Healthy People initiative.
Choice D reason: Establishing health objectives for Americans is an information that the nurse should include in the in-service on the Healthy People 2030 framework. This is the main purpose and function of the framework, which sets data driven national objectives to improve the health and wellbeing of all people over the next decade. The framework also provides evidence-based resources, strategies, and interventions to help achieve the objectives.

Choice A reason: Critical thinking is a component of clinical decision-making that the nurse should use to make an evidence based decision. Critical thinking is the process of applying logic, reasoning, analysis, and evaluation to the information and evidence that is available. Critical thinking helps the nurse to identify and question assumptions, biases, and gaps in the data, and to draw valid and reliable conclusions based on the best available evidence.
Choice B reason: Clinical judgement is not a component of clinical decision-making, but an outcome of clinical decision-making. Clinical judgement is the result of applying critical thinking and clinical reasoning to the data and evidence that is gathered and interpreted. Clinical judgement is the expression of the nurse's decision or opinion about the client's situation, needs, and interventions.
Choice C reason: Concept mapping is not a component of clinical decision-making, but a tool or a strategy that can facilitate clinical decision-making. Concept mapping is a visual representation of the relationships among concepts, data, and evidence that are relevant to the client's situation. Concept mapping can help the nurse to organize, synthesize, and analyze the information, and to identify patterns, themes, and gaps in the data.
Choice D reason: Clinical reasoning is not a component of clinical decision-making, but a process that is involved in clinical decision-making. Clinical reasoning is the cognitive process that the nurse uses to collect, process, interpret, and integrate the data and evidence that is available. Clinical reasoning helps the nurse to make sense of the client's situation, needs, and responses, and to select the appropriate interventions and actions.