Case study – Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies

October 16, 2024October 16, 2024 Discipline: Nursing

Take on the role of a clinician who is building a health history for one of the following case


  • 16-year-old white pregnant teenager living in an inner-city neighborhood.
  • 35-year-old transgender white male living in a homeless shelter.
  1. What are the barriers to interpersonal communication?
  2. What are the procedures and examination techniques that will be used during the physical exam of your patient?
  3. Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.

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