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Which of the following documentation intervention statements from a daily note best represents skilled physical therapy care?

A patient sustains a deep contusion to the left quadriceps during a sledding accident. According to the ICF Model, the patient’s loss of knee ROM and increased pain would be placed under which category?

Which of the following headings should the patient’s dose of physical therapy (intensity and frequency) be placed under in an initial examination note?

Which of the following statements should be placed in the tests and measures subheading of a SOAP note for a patient who is being evaluated due to dizziness?

Which of the following would be the correct way for Dr. Lundeen to sign a daily/treatment documentation note as a licensed physical therapist in the state of ND?

In a progress note, information regarding how the patient is progressing on his/her goals is best placed under which of the following headings?

Discharge notes are optional to write at the end of a physical therapy episode of care.

Which of the following is the most correct format for a physical therapy goal?

Inconsistencies between examination finding and how the patient’s health status may affect his/her prognosis are best placed under which heading in a SOAP initial evaluation?

A problem list of the patient’s impairments of body structure/function, activity, and restrictions in participation are best placed under which subheading in a SOAP note?