Advanced Health Assessment Practice Exam

Which of the following describes OBJECTIVE information in a SOAP note?

1. Patient's description of symptoms

2. Lab values and test results

3. Family history and social background

4. Medication adherence

The correct answer is: Lab values and test results

In the context of a SOAP note, objective information refers to measurable and observable data obtained through clinical assessment and diagnostic testing. Lab values and test results are prime examples of objective information as they provide quantifiable data that can be verified and are not influenced by the patient's interpretation or perception. This contrasts with subjective information, which includes the patient's reports of symptoms or personal experiences regarding their health, such as pain levels, discomfort, or feelings about their condition. Family history and social background are also considered subjective as they are typically provided by the patient and may vary in interpretation. Medication adherence falls into the subjective category as it reflects the patient’s own reporting of whether they are taking their medications as prescribed, which can be influenced by personal understanding and attitudes toward their treatment regimen. Thus, lab values and test results stand out as the correct choice because they offer concrete, clinical evidence that supports the healthcare provider's assessment and planning.