When using the SOAP method of charting, S stands for subjective data which means:

patient provided data

all of the answers are correct

observed data

measured data

Answer and Explanation

The Correct Answer is A

A. Patient provided data: Subjective data includes information the patient states, such as symptoms, pain level, or concerns.

B. All of the answers are correct: Not all answer choices describe subjective data.

C. Observed data: Observations made by the nurse (e.g., swelling, pallor) are objective, not subjective.

D. Measured data: Measurable data, such as vital signs, are objective, not subjective.

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Correct Answer is B

Explanation

A. Validated data: While accurate data is crucial, validated data alone does not form a nursing diagnosis.

B. Data clustering: Data clustering involves grouping related signs, symptoms, and risk factors to determine patterns that lead to a nursing diagnosis.

C. Subjective data: Subjective data (e.g., pain, nausea) is part of assessment but must be combined with objective data to establish a diagnosis.

D. Objective data: Objective data (e.g., lab results, physical exam findings) is important, but a nursing diagnosis requires a comprehensive approach, including data clustering.

A. "No complaints of pain or discomfort." B. The patient states, "It feels like a knife stabbing me." C. "Lump diminished." D. "Patient's condition much better today than yesterday."

Correct Answer is B

Explanation

thoroughly. The patient may not have verbalized pain but could still be experiencing it.

B. The patient states, "It feels like a knife stabbing me.": This documents subjective data verbatim using the patient’s exact words, which is best practice for accuracy and clarity.

C. "Lump diminished.": This lacks specificity—the exact size, texture, or other changes should be documented using precise measurements (e.g., “Lump decreased from 3 cm to 2 cm”).

D. "Patient's condition much better today than yesterday.": This is too vague and lacks measurable indicators of improvement (e.g., vital signs, pain level, mobility).

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When using the SOAP method of charting, S stands for subjective data which means:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following assists the nurse in the identification of nursing diagnoses?

Correct Answer is B

Explanation

Which of the following is an example of good charting?

Correct Answer is B

Explanation

A charge nurse is reviewing documentation with a group of newly hired nurses. Which of the following guidelines should be followed when documenting in a patient record? (select all that apply)

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

Select the type of assessment which is performed continuously throughout nurse-patient contact:

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)

Which of the following statements is correct about abbreviations?

Documenting the type of interventions carried out, the time care was given, and the signature of the care giver results in recording: