Question

Dr. Schultz has just examined Natalia Shrier who had come to see him because she has been having increasing problems with gastroesophageal reflux. Dr. Schultz has instructed Natalia to avoid hot, spicy foods, to avoid eating within three hours of going to bed, to raise the head of her bed, and has given her an order to have an Upper GI x-ray. Dr. Schultz's instructions are part of which element in a SOAP note?
a) Subjective
b) Objective
c) Assessment
d) Plan

Answer 1

Answer: d. Plan

Explanation:

The instructions Dr. Schultz gave Natalia Shrier falls under plan of the SOAP notes, as the directive are instructive and planned out to be followed.