Nursing Process Overview: ADPIE (Assessment, Diagnosis, Planning, Implementation and Evaluation)

Question 1

Provides a framework for clinical decision-making which helps guide care and promote CT
Systematic and goal oriented framework

Answer 1

Nursing process

Question 2

Used throughout NP to improve client care

Answer 2

CT

Question 3

Promotes professionalism
Enhances quality of clinical decisions made
Promotes collab with client and interdisciplinary team
Improves efficiency and timeliness of care
Improves communication among nurses and with the public since it helps others understand what nurses do
Increases client participation in care
Promotes client autonomy and individualized care

Answer 3

NP does

Question 4

Establish a database about client’s response to health concerns/illness and their ability to manage healthcare needs
Gather info about client
Use CT when identifying info to be collected and in this phase to correctly interpret data: data clear, precise, consistent
Collect subj and obj data through observations, interview questions, and physical examinations
Begin clustering cues and formulating inferences as assess client to guide further data collection
Come to a conclusion about prob and move to diagnostic phase

Answer 4

Assessment

Question 5

Clear diagnosis - aids communication among team members
Can identify actual, possible, or wellness diagnosis
CT about client’s condition essential form ND
Once formed priorities are established and move to planning

Answer 5

Diagnostic

Question 6

Priorities always changing so continuous assessment of identified priorities imp - use hierarchy of needs
Once priority diagnoses identified, move to goals/outcomes
CT important to ensure plan is SMART

Answer 6

Planning

Question 7

Provide direction for selection nursing interventions
Focus for evaluation
Developed in consultation with client
Must be:
Once goals identified move to interventions

Answer 7

goals/outcomes

Question 8

client centered
Singular
Mutual
SMART

Answer 8

Must be:

Question 9

Developed and care plan communicated to team
Interventions - variety nurse initiated, physician initiated, or collaborative
In selection consider: nursing diagnosis goals/outcomes; evidence-base, feasibility, acceptability to client and resources available

Answer 9

Interventions

Question 10

Direct care performed through interactions or indirect care
Ensure to use CT
Reassessment imp

Answer 10

Implementation

Question 11

Assess if nursing interventions effective/helpful in meeting desired outcomes
Goals not met - adjust to meet goals
Decision made to terminate, continue, or revise care plan
Completed through NP

Answer 11

Eval