This nurse is credited with founding the nursing process in 1958.
Ida Jean Orlando
This is the first step of the nursing process.
Assessment
This association develops and maintains the official list of nursing diagnoses.
NANDA (North American Nursing Diagnosis Association)
In which step of ADPIE are SMART goals created?
This is the final step in the nursing process.
Evaluation
Name the 5 sequential steps of the nursing process.
Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE)
Data collected directly from the patient’s own words is called this.
Subjective data
What does PES stand for when writing a nursing diagnosis?
Problem–Etiology–Symptoms
What does the “M” in SMART goals stand for?
Measurable
Why must evaluation always follow implementation?
To determine whether goals have been met
The nursing process uses this type of thinking to make decisions.
Critical thinking
Give one example of objective data.
Vital signs, lab results, or observable patient behaviour
Identify the type of nursing diagnosis: “Risk for falls.”
Risk diagnosis
Give one example of a nursing intervention.
Provide patient education, repositioning, provide emotional support, administered O2 as ordered.
Name one key element that must be reassessed during evaluation.
Patient outcomes or intervention effectiveness
List two purposes of the nursing process.
To guide systematic care, support client-centered approaches, ensure goal-oriented tasks, and use evidence-based practice
Why is it important to gather both subjective and objective data during assessment?
To create a complete picture of the patient’s health status.
Complete this diagnosis format: [Problem] + “related to” ____ + “as evidenced by” ____
Related to related factors, as evidenced by defining characteristics
Do we aim to have standardized goals or patient-specific goals when completing the Plan phase of ADPIE?
Patient-specific
What should the nurse do if patient goals are not met?
Revise or adapt the care plan
The nursing process was created in response to what need in nursing practice?
The need for a standardized, systematic method to guide clinical judgment and ensure consistent, holistic patient care.
How can incomplete or inaccurate data collection during assessment impact the rest of the nursing process?
It can lead to incorrect diagnoses, inappropriate goals, ineffective interventions, and poor patient outcomes.
Explain a key way a nursing diagnosis differs from a medical diagnosis.
Nursing diagnoses describe patient responses to health conditions, while medical diagnoses identify the disease.
How can incomplete or inaccurate data collection during assessment impact the rest of the nursing process?
It can lead to incorrect diagnoses, inappropriate goals, ineffective interventions, and poor patient outcomes.
How does evaluation contribute to continuous quality improvement in nursing practice?
By identifying what works and what doesn’t, evaluation informs evidence-based practice, improves future care plans, and enhances patient safety.