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?

Client reports chest pain after mowing lawn this morning.

Client's blood pressure is 182/98 mm Hg.

Client administered nitroglycerin 0.3 mg SL for chest pain.

Client's skin is pale and diaphoretic.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

In the SOAP charting model, the subjective component is where the client's subjective information and feelings are documented. This includes the client's own reports of symptoms, sensations, and experiences. In this case, the client reporting chest pain after mowing the lawn this morning is a subjective statement made by the client. This information is valuable as it provides insight into the client's perception of their condition and helps healthcare providers understand their symptoms and experiences.

Choice B rationale:

The blood pressure reading (182/98 mm Hg) is an objective measurement, not a subjective statement from the client. Objective data includes measurable and observable information, like vital signs, lab results, and physical examination findings. This type of information is typically documented in the objective component of SOAP charting.

Choice C rationale:

The administration of nitroglycerin (0.3 mg SL) is also an objective action taken by the client, not a subjective statement. It falls under the plan section of the SOAP chart, where healthcare providers outline the actions or interventions taken.

Choice D rationale:

The description of the client's skin (pale and diaphoretic) is also objective data. It represents observable physical signs and is not part of the subjective component, which focuses on the client's own statements and feelings.

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Correct Answer is B

Explanation

Choice A rationale:

Encouraging family members to call the client is a valuable emotional and social support, but it may not be as effective in reducing social isolation for a client at the end of life. While communication with loved ones is important, it may not fully address the client's need for personal interaction.

Choice C rationale:

Instructing the client to join an online support group can be a useful intervention to reduce social isolation, especially in cases where physical interaction is limited. However, it may not be as effective for all clients, as comfort with technology and online groups can vary. Additionally, it should be one of several strategies used to address social isolation.

Choice D rationale:

Asking the client's friends to text the client is a positive gesture, but it may not be as effective as scheduling home visits with the client. Text messages may not provide the same level of personal interaction and emotional support that physical visits can offer.

Choice B rationale:

Scheduling home visits with the client is the most effective intervention to reduce social isolation in a client at the end of life. It allows for in-person interaction, emotional support, and the opportunity to address the client's physical and emotional needs directly. Face-to-face contact can significantly improve the client's sense of connectedness and reduce feelings of isolation.

A. "Collective bargaining is a competency that facilitates participation with other team members.”. B. "Confrontation is a competency that encourages interaction with other team members.”. C. "Communication with other team members is a competency that promotes openness in client care.”. D. "Coercive power over other team members is a competency that improves client outcomes.”. .

Correct Answer is C

Explanation

Choice A rationale:

Collective bargaining is not a competency related to interprofessional collaboration. It pertains more to labor relations and negotiations with employee unions.

Choice B rationale:

Confrontation is generally not a positive competency in the context of interprofessional collaboration. It can lead to conflicts and hinder teamwork.

Choice D rationale:

Coercive power over other team members is not a competency that promotes collaboration. Collaboration should be based on mutual respect and communication rather than coercion. Interprofessional collaboration involves effective communication, teamwork, and a shared understanding of patient care goals. Therefore, choice C, which emphasizes the importance of communication in promoting openness in client care, is the most appropriate answer.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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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?