ADPIE NURSING PROCESS

Question 1

Source: family, records, healthcare team

Answer 1

Secondary Source of Data

Question 2

Actions the nurse can perform without a doctor’s order.

Answer 2

Independent Nursing Interventions

Question 3

Actions done with other healthcare team members

Answer 3

Collaborative Interventions

Question 4

Source: Client

Answer 4

Primary Source of Data

Question 5

Is a process which results in a diagnostic statement or nursing diagnosis.

Answer 5

DIAGNOSIS

Question 6

All nurses who work with the client do ongoing plan care.

Answer 6

Ongoing planning

Question 7

SMART Planning

Answer 7

Specific
Measurable
Attainable
Realistic
Time-Bounded

Question 8

Actions that require a doctor’s order

Answer 8

Dependent Nursing Interventions

Question 10

2 Sources of Data

Answer 10

Primary and Secondary

Question 11

Systematic collection of client data to determine health status.

Answer 11

ASSESSMENT

Question 12

4 possible judgments that may be made in evaluation

Answer 12

The goal was partially met
The goal was completely unmet
New problems have developed
Modify care plan as needed

Question 13

The process of anticipating and planning for needs after discharge includes health teaching, interpersonal collaboration if client need a long term facilities.

Answer 13

Discharge planning

Question 14

Data which the patient feels or says

Answer 14

Subjective

Question 15

Data that you can measure or observe

Answer 15

Objective

Question 16

Clinical judgment about client responses to health problems.
Focuses on human responses, not medical diseases.

Answer 16

Nursing Diagnosis

Question 17

Nurse performs the admission assessment usually develops the initial comprehensive plan of care

Answer 17

Initial planning

Question 18

Ethical and legal considerations
Confidentiality of client records

Answer 18

Documenting and Reporting

Question 19

Determining whether client goals and outcomes have been met.

Answer 19

EVALUATION

Question 20

Carrying out the nursing care plan through nursing interventions.

Answer 20

IMPLEMENTATION

Question 21

4 Data Collection Methods

Answer 21

Interview
Diagnostic Results
Observation
Physical Exam

Question 22

2 Types of Data

Answer 22

Objective & Subjective Data

Question 23

4 Diagnostic Process

Answer 23

Diagnostic Process
Analyzing data
Identifying problems, risks, and strengths.
Formulating diagnostic statements.
Avoiding errors in reasoning.

Question 24

Setting priorities, goals, and selecting appropriate nursing interventions to short and long plans.

Answer 24

Planning