COURSE 

NU 643 ADVANCED PSYCHOPHARMACOLOGY

Introduction

The PMHNP SOAP note is a tool utilized to guide clinical reasoning to assess, diagnosis, and develop a treatment plan for a patient based on information presented and current evaluation of the patient. These notes serve as an important source of information about the health status of the patient and can be used to communicate this status to other health care professionals.

Instructions

1. Review the following resources:
   • SOAP Note Presentation (PowerPoint)
     • SOAP Note Presentation Transcript
   • SOAP Note Template (Word)
2. Complete the SOAP Note Questionnaire (Word) and submit to this assignment.

Please refer to the Grading Rubric for details on how this activity will be graded.

SOLUTION  

Introduction to PMHNP SOAP Note

1. What does the S stand for in the SOAP note format?

The S in the PMHNP SOAP note represents subjective where any information given by the patient is indicated. The subjective part determines all information or comments provided by the patient, their relations, and care providers. The report includes experiences, symptoms, and conditions that the patient perceives and their needs and goals in their perspective.

2. What information is contained in the S section?

This section provides context for the assessment and care plan. The information documented in this section includes the chief complaint, which is the problem presented by the patient.

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