(Student Name) Miami Regional University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Psoriasis) PATIENT INFORMATION Name: Age: Gender at Birth: Gender Identity: Source: Allergies: Current Medications: · PMH: Immunizations: Preventive Care: Surgical History: Family History: Social History: Sexual Orientation: Nutrition History: Subjective Data: Chief Complaint: “XXX” Symptom analysis/HPI: Review of Systems (ROS) CONSTITUTIONAL: NEUROLOGIC: HEENT: RESPIRATORY: CARDIOVASCULAR: GASTROINTESTINAL: GENITOURINARY: MUSCULOSKELETAL: SKIN: Objective Data: VITAL SIGNS: GENERAL APPREARANCE: NEUROLOGIC: HEENT: Head: Neck: CARDIOVASCULAR: RESPIRATORY: GASTROINTESTINAL: MUSKULOSKELETAL: INTEGUMENTARY: ASSESSMENT: Main Diagnosis: Differential diagnosis: · PLAN: Labs and Diagnostic Test to be ordered: · Pharmacological treatment: · Non-Pharmacologic treatment: · Education · Follow-ups/Referrals · References Case Study 4: Sexual Deviance  Due Week 8 and worth 160 points    According to the text, heterosexual norms represent the guidelines for determining sexual deviance. For this case study, use the Internet and/or the Strayer library (https://research.strayer.edu) to identify, research, and explore one criminal case of heterosexual deviance within the last three years.     Write a 3-5-page paper in which you address the following thoroughly. Cite specifics from the case to support your arguments:  1. Specify the key turning points when the defendant began his/her descent into deviant behavior. Next, determine whether or not you believe “sexual deviant” is an accurate label for the defendant. Support your position.  2. Debate whether or not the societal status of the defendant affected the identification of sexual deviance in the defendant. Justify your response.   3. Analyze the significance of two characteristics of sexual deviance that are applicable to the defendant. Next, based on the characteristics you deemed applicable to the defendant, speculate whether or not there was a point that medical intervention could have helped him/her overcome or better control his/her sexual deviance. Provide a rationale to support your response.   4. Suggest two rationales for society’s changing attitudes towards what is deemed acceptable sexual behavior. Next, predict two possible outcomes of the changing attitudes towards sexual behavior and its resulting influence on crime in the United States. Justify your response.  5. Use at least three quality academic resources in this assignment. Note: Wikipedia and similar types of websites do not qualify as academic resources.  Your assignment must follow these formatting requirements:  · Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references should follow the Strayer Writing Standards (SWS). Check with your professor for any additional instructions.

1. (Student Name)
Miami Regional University
Date of Encounter:
Preceptor/Clinical Site:
Clinical Instructor:
Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX:
Psoriasis)
PATIENT INFORMATION
Name:
Age:
Gender at Birth:
Gender Identity:
Source:
Allergies:
Current Medications:
·
PMH:
Immunizations:
Preventive Care:
Surgical History:
Family History:
Social History:
Sexual Orientation:
Nutrition History:
Subjective Data:
Chief Complaint: “XXX”
Symptom analysis/HPI:
Review of Systems (ROS)
CONSTITUTIONAL:
NEUROLOGIC:
HEENT:
RESPIRATORY:
CARDIOVASCULAR:

2. GASTROINTESTINAL:
GENITOURINARY:
MUSCULOSKELETAL:
SKIN:
Objective Data:
VITAL SIGNS:
GENERAL APPREARANCE:
NEUROLOGIC:
HEENT:
Head:
Neck:
CARDIOVASCULAR:
RESPIRATORY:
GASTROINTESTINAL:
MUSKULOSKELETAL:
INTEGUMENTARY:
ASSESSMENT:
Main Diagnosis:
Differential diagnosis:
·
PLAN:
Labs and Diagnostic Test to be ordered:
·
Pharmacological treatment:
·
Non-Pharmacologic treatment:
·
Education
·
Follow-ups/Referrals
·
References
Case Study 4: Sexual Deviance
Due Week 8 and worth 160 points

3. According to the text, heterosexual norms represent the
guidelines for determining sexual deviance. For this case study,
use the Internet and/or the Strayer library
(https://research.strayer.edu) to identify, research, and explore
one criminal case of heterosexual deviance within the last three
years.
Write a 3-5-page paper in which you address the following
thoroughly. Cite specifics from the case to support your
arguments:
1. Specify the key turning points when the defendant began
his/her descent into deviant behavior. Next, determine whether
or not you believe “sexual deviant” is an accurate label for the
defendant. Support your position.
2. Debate whether or not the societal status of the defendant
affected the identification of sexual deviance in the defendant.
Justify your response.
3. Analyze the significance of two characteristics of sexual
deviance that are applicable to the defendant. Next, based on
the characteristics you deemed applicable to the defendant,
speculate whether or not there was a point that medical
intervention could have helped him/her overcome or better
control his/her sexual deviance. Provide a rationale to support
your response.
4. Suggest two rationales for society’s changing attitudes
towards what is deemed acceptable sexual behavior. Next,
predict two possible outcomes of the changing attitudes towards
sexual behavior and its resulting influence on crime in the
United States. Justify your response.
5. Use at least three quality academic resources in this
assignment. Note: Wikipedia and similar types of websites do
not qualify as academic resources.
Your assignment must follow these formatting requirements:
· Be typed, double spaced, using Times New Roman font (size
12), with one-inch margins on all sides; citations and references
should follow the Strayer Writing Standards (SWS). Check with
your professor for any additional instructions.

4. · Include a cover page containing the title of the assignment, the
student’s name, the professor’s name, the course title, and the
date. The cover page and the reference page are not included in
the required assignment page length.
The specific course learning outcomes associated with this
assignment are:
· Describe the major components of heterosexual deviance.
· Recommend improvements to how heterosexual deviance is
being reconciled by the legal system.
· Use technology and information resources to research issues
related to the criminal mind.
· Write clearly and concisely about topics involving the
criminal mind using proper writing mechanics and technical
style conventions.
Grading for this assignment will be based on answer quality,
logic/organization of the paper, and language and writing skills,
using the following rubric
Points: 160
Case Study 4: Sexual Deviance
Criteria
Unacceptable
Below 60% F
Meets Minimum Expectations
60-69% D
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Specify the key turning points when the defendant began
his/her descent into deviant behavior. Next, determine whether
or not you believe “sexual deviant” is an accurate label for the
defendant. Support your position.

5. Weight: 20%
Did not submit or incompletely specified the key turning points
when the defendant began his descent into deviant behavior. Did
not submit or incompletely determined whether or not you
believe “sexual deviant” was an accurate label for the
defendant. Did not submit or incompletely supported your
position.
Insufficiently specified the key turning points when the
defendant began his descent into deviant behavior.
Insufficiently determined whether or not you believe “sexual
deviant” was an accurate label for the defendant Insufficiently
supported your position.
Partially specified the key turning points when the defendant
began his descent into deviant behavior. Partially determined
whether or not you believe “sexual deviant” was an accurate
label for the defendant. Partially supported your position.
Satisfactorily specified the key turning points when the
defendant began his descent into deviant behavior.
Satisfactorily determined whether or not you believe “sexual
deviant” was an accurate label for the defendant. Satisfactorily
supported your position.
Thoroughly specified the key turning points when the defendant
began his descent into deviant behavior. Thoroughly determined
whether or not you believe “sexual deviant” was an accurate
label for the defendant. Thoroughly supported your position.
2. Debate whether or not the societal status of the defendant
affected the identification of sexual deviance in the defendant.
Justify your response.
Weight: 15%
Did not submit or incompletely debated whether or not the
societal status of the defendant affected the identification of
sexual deviance in the defendant. Did not submit or
incompletely justified your response.
Insufficiently debated whether or not the societal status of the

6. defendant affected the identification of sexual deviance in the
defendant. Insufficiently justified your response.
Partially debated whether or not the societal status of the
defendant affected the identification of sexual deviance in the
defendant. Partially justified your response.
Satisfactorily debated whether or not the societal status of the
defendant affected the identification of sexual deviance in the
defendant. Satisfactorily justified your response.
Thoroughly debated whether or not the societal status of the
defendant affected the identification of sexual deviance in the
defendant. Thoroughly justified your response.
3. Analyze the significance of two characteristics of sexual
deviance that are applicable to the defendant. Next, based on
the characteristics you deemed applicable to the defendant,
speculate whether or not there was a point that medical
intervention could have helped him/her overcome or better
control his/her sexual deviance. Provide a rationale to support
your response.
Weight: 25%
Did not submit or incompletely analyzed the significance of two
characteristics of sexual deviance that are applicable to the
defendant. Did not submit or incompletely speculated whether
or not there was a point that medical intervention could have
helped the defendant overcome or better control his sexual
deviance, based on the characteristics you deemed applicable to
the defendant. Did not submit or incompletely provided a
rationale to support your response.
Insufficiently analyzed the significance of two characteristics of

7. sexual deviance that are applicable to the defendant.
Insufficiently speculated whether or not there was a point that
medical intervention could have helped the defendant overcome
or better control his sexual deviance, based on the
characteristics you deemed applicable to the defendant.
Insufficiently provided a rationale to support your response.
Partially analyzed the significance of two characteristics of
sexual deviance that are applicable to the defendant. Partially
speculated whether or not there was a point that medical
intervention could have helped the defendant overcome or better
control his sexual deviance, based on the characteristics you
deemed applicable to the defendant. Partially provided a
rationale to support your response.
Satisfactorily analyzed the significance of two characteristics of
sexual deviance that are applicable to the defendant.
Satisfactorily speculated whether or not there was a point that
medical intervention could have helped the defendant overcome
or better control his sexual deviance, based on the
characteristics you deemed applicable to the defendant.
Satisfactorily provided a rationale to support your response.
Thoroughly analyzed the significance of two characteristics of
sexual deviance that are applicable to the defendant.
Thoroughly speculated whether or not there was a point that
medical intervention could have helped the defendant overcome
or better control his sexual deviance, based on the
characteristics you deemed applicable to the defendant.
Thoroughly provided a rationale to support your response.
4. Suggest two rationales for society’s changing attitudes
towards what is deemed acceptable sexual behavior. Next,
predict two possible outcomes of the changing attitudes towards
sexual behavior and its resulting influence on crime in the
United States. Justify your response.
Weight: 25%
Did not submit or incompletely suggested two rationales for
society’s changing attitudes towards what is deemed acceptable
sexual behavior. Did not submit or incompletely predicted two

8. possible outcomes of the changing attitudes towards sexual
behavior and its resulting influence on crime in the United
States. Did not submit or incompletely justified your response.
Insufficiently suggested two rationales for society’s changing
attitudes towards what is deemed acceptable sexual behavior.
Insufficiently predicted two possible outcomes of the changing
attitudes towards sexual behavior and its resulting influence on
crime in the United States. Insufficiently justified your
response.
Partially suggested two rationales for society’s changing
attitudes towards what is deemed acceptable sexual behavior.
Partially predicted two possible outcomes of the changing
attitudes towards sexual behavior and its resulting influence on
crime in the United States. Partially justified your response.
Satisfactorily suggested two rationales for society’s changing
attitudes towards what is deemed acceptable sexual behavior.
Satisfactorily predicted two possible outcomes of the changing
attitudes towards sexual behavior and its resulting influence on
crime in the United States. Satisfactorily justified your
response.
Thoroughly suggested two rationales for society’s changing
attitudes towards what is deemed acceptable sexual behavior.
Thoroughly predicted two possible outcomes of the changing
attitudes towards sexual behavior and its resulting influence on
crime in the United States. Thoroughly justified your response.
5. Cite 3 references
Weight: 5%
No references provided.
Does not meet the required number of references; all references
poor quality choices.
Does not meet the required number of references; some
references poor quality choices.
Meets number of required references; all references high quality
choices.
Exceeds number of required references; all references high
quality choices.

9. 6. Clarity, writing mechanics, and formatting requirements
Weight: 10%
More than 8 errors present.
7-8 errors present
5-6 errors present.
3-4 errors present.
0-2 errors present.
(Student Name)
Miami Regional University
Date of Encounter:
Preceptor/Clinical Site:
Clinical Instructor:
Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX:
Hypertension)
PATIENT INFORMATION
Name: Mr. DT
Age: 68-year-old
Gender at Birth: Male
Gender Identity: Male
Source: Patient
Allergies: PCN, Iodine
Current Medications:
· Atorvastatin tab 20 mg, 1-tab PO at bedtime
· ASA 81mg po daily
· Multi-Vitamin Centrum Silver
PMH: Hypercholesterolemia
Immunizations: Influenza last 2018-year, tetanus, and hepatitis
A and B 4 years ago.
Preventive Care: Coloscopy 5 years ago (Negative)
Surgical History: Appendectomy 47 years ago.
Family History: Father- died 81 does not report information
Mother-alive, 88 years old, Diabetes Mellitus,

10. HTN
Daughter-alive, 34 years old, healthy
Social History: No smoking history or illicit drug use,
occasional alcoholic beverage consumption on social
celebrations. Retired, widow, he lives alone.
Sexual Orientation: Straight
Nutrition History: Diets off and on, Does not each seafood
Subjective Data:
Chief Complaint: “headaches” that started two weeks ago
Symptom analysis/HPI:
The patient is 65 years old male who complaining of episodes of
headaches and on 3 different occasions blood pressure was
measured, which was high (159/100, 158/98 and 160/100
respectively). Patient noticed the problem started two weeks ago
and sometimes it is accompanied by dizziness. He states that he
has been under stress in his workplace for the last month.
Patient denies chest pain, palpitation, shortness of breath,
nausea or vomiting.
Review of Systems (ROS)
CONSTITUTIONAL: Denies fever or chills. Denies weakness or
weight loss. NEUROLOGIC: Headache and dizziness as
describe above. Denies changes in LOC. Denies history of
tremors or seizures.
HEENT: HEAD: Denies any head injury, or change in LOC.
Eyes: Denies any changes in vision, diplopia or blurred vision.
Ear: Denies pain in the ears. Denies loss of hearing or drainage.
Nose: Denies nasal drainage, congestion. THROAT: Denies
throat or neck pain, hoarseness, difficulty swallowing.
RESPIRATORY: Patient denies shortness of breath, cough or
hemoptysis.
CARDIOVASCULAR: No chest pain, tachycardia. No orthopnea
or paroxysmal nocturnal
dyspnea.
GASTROINTESTINAL: Denies abdominal pain or discomfort.
Denies flatulence, nausea, vomiting or

11. diarrhea.
GENITOURINARY: Denies hematuria, dysuria or change in
urinary frequency. Denies difficulty starting/stopping stream of
urine or incontinence.
MUSCULOSKELETAL: Denies falls or pain. Denies hearing a
clicking or snapping sound.
SKIN: No change of coloration such as cyanosis or jaundice, no
rashes or pruritus.
Objective Data:
VITAL SIGNS: Temperature: 98.5 °F, Pulse: 87, BP: 159/92
mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI
25. Report pain 2/10.
GENERAL APPREARANCE: The patient is alert and oriented x
3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII
grossly intact, oriented to person, place, and time. Sensation
intact to bilateral upper and lower extremities. Bilateral UE/LE
strength 5/5.
HEENT: Head: Normocephalic, atraumatic, symmetric, non-
tender. Maxillary sinuses no tenderness. Eyes: No conjunctival
injection, no icterus, visual acuity and extraocular eye
movements intact. No nystagmus noted. Ears: Bilateral canals
patent without erythema, edema, or exudate. Bilateral tympanic
membranes intact, pearly gray with sharp cone of light.
Maxillary sinuses no tenderness. Nasal mucosa moist without
bleeding. Oral mucosa moist without lesions,. Lids non-
remarkable and appropriate for race.
Neck: supple without cervical lymphadenopathy, no jugular vein
distention, no thyroid swelling or masses.
CARDIOVASCULAR: S1S2, regular rate and rhythm, no
murmur or gallop noted. Capillary refill < 2 sec.
RESPIRATORY: No dyspnea or use of accessory muscles
observed. No egophony, whispered pectoriloquy or tactile
fremitus on palpation. Breath sounds presents and clear

12. bilaterally on auscultation.
GASTROINTESTINAL: No mass or hernia observed. Upon
auscultation, bowel sounds present in all four quadrants, no
bruits over renal and aorta arteries. Abdomen soft non-tender,
no guarding, no rebound no distention or organomegaly noted
on palpation
MUSKULOSKELETAL: No pain to palpation. Active and
passive ROM within normal limits, no stiffness.
INTEGUMENTARY: intact, no lesions or rashes, no cyanosis or
jaundice.
ASSESSMENT:
Main Diagnosis
Essential (Primary) Hypertension (ICD10 I10): Given the
symptoms and high blood pressure (156/92 mmhg), classified as
stage 2. Once the organic cause of hypertension has been ruled
out, such as renal, adrenal or thyroid, this diagnosis is
confirmed (Codina Leik, 2015). Diagnosis is based on the
clinical evaluation through history,ical examination, and routine
laboratory tests to assess risk factors, reveal identifiable causes
and detect target-organ damage, including evidence of
cardiovascular disease (Domino et al,. 2017).
Differential diagnosis:
· Renal artery stenosis (ICD10 I70.1)
· Chronic kidney disease (ICD10 I12.9)
· Hyperthyroidism (ICD10 E05.90)
PLAN:
Labs and Diagnostic Test to be ordered:
· CMP
· Complete blood count (CBC)
· Lipid profile
· Thyroid-stimulating hormone (TSH)
· Urinalysis with Micro
· Electrocardiogram (EKG 12 lead)

13. Pharmacological treatment:
· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally
once daily.
· Lisinopril 10mg PO Daily
Non-Pharmacologic treatment:
· Weight loss
· Healthy diet (DASH dietary pattern): Diet rich in fruits,
vegetables, whole grains, and low-fat dairy products with
reduced content of saturated and trans l fat
· Reduced intake of dietary sodium: <1,500 mg/d is optimal
goal but at least 1,000 mg/d reduction in most adults
· Enhanced intake of dietary potassium
· Regular physical activity (Aerobic): 90–150 min/wk
· Tobacco cessation
· Measures to release stress and effective coping mechanisms.
Education
· Provide with nutrition/dietary information.
· Daily blood pressure monitoring log at home twice a day for 7
days, keep a record, bring the record on the next visit with her
PCP
· Instruction about medication intake compliance.
· Education of possible complications such as stroke, heart
attack, and other problems.
· Patient was educated on course of hypertension, as well as
warning signs and symptoms, which could indicate the need to
attend the E.R/U.C. Answered all pt. questions/concerns. Pt
verbalizes understanding to all
Follow-ups/Referrals
· Follow up appointment 1 weeks for managing blood pressure
and to evaluate current hypotensive therapy.
· No referrals needed at this time.
References

14. Codina Leik, M. T. (2014). Family Nurse Practitioner
Certification Intensive Review (2nd ed.).
ISBN 978-0-8261-3424-0
Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The
5-Minute Clinical Consult 2017
(25th ed.). Print (The 5-Minute Consult Series).