Posted: May 15th, 2023

PMHNP Problem-Focused SOAP Note

Submit a Problem-Focused SOAP note here for grading. You must use an actual patient from your clinical practicum. Review the rubric for more information on how your assignment will be graded. Please use a psychiatric patient (example of diagnosis GAD, MDD, PTSD). Patient has to be geriatric patient older than 66 years old

PMHNP Problem-Focused SOAP Note
(Use this template for this Assignment)

Which Citation Styles Can You Handle?

We get a lot of “Can you do MLA or APA?”—and yes, we can! Our writers ace every style—APA, MLA, Turabian, you name it. Tell us your preference, and we’ll format it flawlessly.

Demographic Data
o Patient age and Patient’s gender identity
o MUST BE HIPAA compliant.

Subjective
Chief Complaint (CC):
o Place the patient’s CC complaint in Quotes
History of Present Illness (HPI):
o Reason for an appointment today.
o The events that led to hospitalization or clinic visits today.
o Include symptoms, relieving factors, and past compliance or non-compliance with medications
o Any adverse effects from past medication use
o Sleep patterns – number of hours of sleep per day, early wakefulness, not being able to initiate sleep, not able to stay asleep, etc.
o Suicide or homicide thoughts present
o Any self-care or Activity of Daily Living (ADL) such as eating, drinking liquids, self-care deficits or issues noted?
o Presence/description of psychosis (if psychosis, command or non-command)
Past Psychiatric History (PSH):
o Past psychiatric diagnoses
o Past hospitalizations
o Past psychiatric medications use
o Any non-compliance issues in the past?
o Any meds that didn’t work for this patient?
Family History of Psychiatric Conditions or Diagnoses:
o Mother/father, siblings, grandparents, or direct relatives
Social History:
o Include nutrition, exercise, substance use (details of use), sexual history/preference, occupation (type), highest school achievement, financial problems, legal issues, children, history of personal abuse (including sexual, emotional, or physical).
Allergies:
o to medications, foods, chemicals, and other.
Review of Systems (ROS) (Physical Complaints):
o Any physical complaints by body system? (Respiratory, Cardiac, Renal, etc.)

Objective

Mental Status Exam:
o This is not physical exam.
o Mini-Mental Status Exam (MMSE) – Full exam

Are Writing Services Legal?

Totally! They’re a legit resource for sample papers to guide your work. Use them to learn structure, boost skills, and ace your grades—ethical and within the rules.

Assessment (Diagnosis)
Differentials
o Two (2) differential diagnoses with ICD-10 codes.
o Must include rationale using DSM-5 Criteria (Required)
o Why didn’t you pick these as a major diagnosis?
Working Diagnosis
o Final or working diagnosis (1), with ICD-10 code.
o Must include rationale using DSM-5 criteria required – Which symptoms/signs in the DSM-5 the patient matches mostly)

Plan
Treatment Plan (Tx Plan):
o Pharmacologic: Include full information for each medication(s) prescribed
o Refill Provided: Include full information for each medication(s) refilled
Patient Education:
o including specific medication teaching points
o Was risk versus benefit of current treatment plan addressed for meds or treatment
o Risk versus benefit of non-FDA approved for working diagnosis – Off-label use of medication education to patient addressed?
Prognosis:
o Make Decision for prognosis: Good, Fair, Poor
o Provide brief statement lending support for or against the decided prognosis.

Therapy Recommendations:
o Type(s) of therapy recommended.
Referral/Follow-up:
o Did you recommend follow-up with Psychiatrist, PCP, or other specialist or healthcare professionals?
o When is the subsequent follow-up?
o Include rationale for the F/U recommendation or referral.

What’s the Price for a Paper?

Starts at $10/page for undergrad, up to $21 for pro-level. Deadlines (3 hours to 14 days) and add-ons like VIP support adjust the cost. Discounts kick in at $500+—save more with big orders!

Reference(s):
o Include American Psychological Association (APA) formatted references.
o Include a reference from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5) or the accompanying Desk Reference of Diagnostic Criteria from DSM-5.
o Minimum 2 references are required.
PMHNP– SOAP Note Rubric

Criteria Ratings Pts
S
(Subjective) 10 points
Accomplished

Symptom analysis is well organized in a SOAP format, with C/C, Past Psychiatric Hx, Social Hx, and other pertinent past and current diagnostic details.

SOAP Note is complete, concise, relevant with no extraneous data. 6 points
Satisfactory

Is My Privacy Protected?

100%! We encrypt everything—your details stay secret. Papers are custom, original, and yours alone, so no one will ever know you used us.

Symptom analysis is well organized in a SOAP format, with C/C, Past Psychiatric Hx, Social Hx, and other pertinent past and current diagnostic details.

Some extraneous data present with 1 minor data point missing. 4 points
Needs Improvement

Symptom analysis is not well organized or presented in a varied format. Required data is missing.

There is too much extraneous data present or 2-3 minor data points are missing. 0 points
Unsatisfactory

Is AI Involved in Writing?

Nope—all human, all the time. Our writers are pros with real degrees, crafting unique papers with expertise AI can’t replicate, checked for originality.

Symptom analysis is inadequate and is not organized. Objective or other data is mixed into the subjective data.

Important data is missing. 10 pts
O
(Objective) 10 points
Accomplished

Mental Status Exam is complete, concise, well-organized, and well-written. Includes pertinent psychiatric information. Organized by MSE list format.

No extraneous information is included. 6 points
Satisfactory

Why Are You the Best for Research?

Our writers are degree-holding pros who tackle any topic with skill. We ensure quality with top tools and offer revisions—perfect papers, even under pressure.

Mental Status Exam is partially incomplete, organized, and satisfactorily written. Includes pertinent psychiatric information with additional extraneous information included.

Somewhat organized in MSE list format. 4 points
Needs Improvement

Mental Status Exam is incomplete, loosely organized with improvements required. Relevant psychiatric information is omitted. 0 points
Unsatisfactory

Mental Status Exam is absent, disorganized in presentation, adheres to no specific format, or grossly omits relevant or pertinent psychiatric information. 10 pts
A
(Assessment) 10 points
Accomplished

Who Writes My Assignments?

Experts with degrees—many rocking Master’s or higher—who’ve crushed our rigorous tests in their fields and academic writing. They’re student-savvy pros, ready to nail your essay with precision, blending teamwork with you to match your vision perfectly. Whether it’s a tricky topic or a tight deadline, they’ve got the skills to make it shine.

Diagnosis and Differential Dx are correct with DSM-5 code(s) and supported by subjective and objective data.

Includes: 1 working Dx and 2 Differential Dx. 6 points
Satisfactory

Diagnosis and Differential Dx are correct with DSM-5 code(s) and mostly supported by subjective and objective data.

Missing at least one (1) pertinent differential diagnosis not listed according to subjective and objective data. Working diagnosis is correct. 4 points
Needs Improvement

Will My Paper Be Unique?

Guaranteed—100%! We write every piece from scratch—no AI, no copying—just fresh, well-researched work with proper citations, crafted by real experts. You can grab a plagiarism report to see it’s 95%+ original, giving you total peace of mind it’s one-of-a-kind and ready to impress.

Diagnosis and Differential Dx are correct with DSM-5 code(s) and mostly supported by subjective and objective data.

Missing up to two (2) pertinent differential diagnoses based on subjective and objective data presented. Or differential diagnoses are adequate with an incorrect working diagnosis. 0 points
Unsatisfactory

All diagnoses (working diagnosis and differential diagnoses) are incorrect or is missing based on the subjective and objective data presented. 10 pts
P
(Plan) 10 points
Accomplished

Plan is well-organized, complete, evidence-based, and patient-centric. Fully addresses each diagnosis and is individualized to the specific patient.

Can You Use Any Citation Format?

Yep—APA, Chicago, Harvard, MLA, Turabian, you name it! Our writers customize every detail to fit your assignment’s needs, ensuring it meets academic standards down to the last footnote or bibliography entry. They’re pros at making your paper look sharp and compliant, no matter the style guide.

*Plan requirements: prescribed medications, if any; explanation of off-label medication use, if prescribed; risks and benefits of medications identified; therapy recommendations; patient education; referral/follow-up; and health maintenance.
6 points
Satisfactory

Plan is organized, complete, evidence-based and patient-centric. Fully addresses each diagnosis and is individualized to the specific patient.

Plan is missing 1-2 of the required items. 4 points
Needs Improvement

Plan is less organized, is not based on evidence. Fails to address each diagnosis sufficiently or is not individualized or patient-centric

Can I Change My Order Details?

For sure—you’re not locked in! Chat with your writer anytime through our handy system to update instructions, tweak the focus, or toss in new specifics, and they’ll adjust on the fly, even if they’re mid-draft. It’s all about keeping your paper exactly how you want it, hassle-free.

Plan is missing more than 2 of the required items. 0 points
Unsatisfactory

Plan is disorganized, absent, or is missing all the required items. 10 pts
Total 40 pts

Tags: Australia dissertation writers, Australia essay writers, Canada essay writers, essay pro dissertation writers