In Proper Documentation of the Assessment Section of the SOAP

question 3

Multiple Choice

In proper documentation of the assessment section of the SOAP note, it is important for the PTA to communicate changes in the plan of care.What statement best demonstrates this communication in the assessment section?

• A) The patient met all short-term goals and will discuss setting new goals with PT.
• B) The patient stated that his pain level was an 8/10 prior to treatment today.
• C) The patient completed AROM in (L) shoulder, flex. (I) 10x, 3 sets.
• D) The patient performed quad sets 10x, 3 sets.

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Definitions:

Team Culture

The shared values, beliefs, norms, and practices that shape the behavior and interaction of members within a team.

Ethnic Origin

pertains to the background or heritage of an individual, identifying them as belonging to a specific racial, national, or cultural group.

Geographical Location

Refers to the physical place where a team or organization is situated, which can influence its operations, culture, and access to resources.

Psychological State

pertains to an individual's mental condition at a particular time, including mood, emotional well-being, and cognitive functions.