Structured NR222 Assessment Review Pack for
2025 – Includes Rationales, Models, and Scenarios
ANA; Scope AND Standards of Practice: - The ANA develops, revises, and maintains the
scope of practice of all professional nurses
The ANA STANDARDS of Practice: - Standards of performance and code of ethics for
nurses are part of the public recognition of the significance of nursing practice and implications
regarding trends in healthcare
Code of ethics: - For nurses with interpretative statements continues to be the
foundational moral document of American Nursing. It encompasses the professions values,
obligations, ethical standards, aspirations, and ideals
Nurse Practice Acts (NPA's): - State and provincial nurse practice acts establish specific
legal regulations and establish standards of practice for nursing care that vary by state
Caregiver: - Provide nursing care. As a caregiver you help patients maintain and regain
health, manage disease and symptoms, and attain a maximal level of function and
independence through the healing process, and help the patient and family set outcomes
Advocate: - "Speaking up" for the client act to help promote the clients autonomy, in a
supportive way. Ensure patients autonomy and self determination are reflected
Educator: - educate, teach, discharge planning. May include informal or unplanned
teaching during casual conversations, or pre-planned and organized educational sessions
Communicator: - high-quality communication is essential for all nursing roles and
activities. Therapeutic communication. Coordination of care, interdisciplinary communication
Manager: - Delegation, supervision, and assignments
Clinical Judgement: - Observed outcome of critical thinking and decision making
Clinical Decision Making: - Separates professional nurses from technicians or others
assistive personnel (AP)
The Nursing Process: - Relate nursing assessment, planning, implementation, and
evaluation to health and wellness
ADPIE/ Assessment: - gathering data/ subjective vs. objective
, ADPIE/ Diagnosis: - nursing diagnosis/ actual vs. risk for nursing diagnosis (NOT medical
diagnoses)
ADPIE/ Planning: - plan goals and outcomes/ SMART goals (Specific, measure, attainable,
realistic, timed)
ADPIE/ Implementation: - take action/ direct care vs. indirect care and ADL's (activities of
daily living) vs. IADL's (instrumental activities of daily living)
ADPIE/ Evaluation: - evaluate whether nursing care was effective or not. Observe any
changes in the patient.
Subjective: - What the client or family states, feelings, self-reported things, perceptions,
clients symptoms: pain, nausea, fatigue, headache. Client states "I don't feel well" or Clients
family states "they have a headache" etc.
Objective: - What someone observes and can measure (see, touch, hear, smell). EX:
observing, inspecting, palpating, auscultating, and measuring.
Direct care includes: - turning client, ambulation, administering pain medication,
education
Indirect care includes: - charting, interdisciplinary communication, and delegation of care
to others
Activities of daily living: - ambulation, toileting, eating, dressing, bathing etc.
Instrumental activities of daily living: - shopping, caring for pets, home maintenance,
preparing meals
Assessments vs. Evaluation: - A: new stuff
E: evaluate new things/ what's changed/ have we met goals
Autonomy: - the right to make ones own personal decisions, even when those decisions
might not be in their own best interest
Beneficence: - action that promotes good for others, without any self-interest
Fidelity: - fulfillment of promises
Justice: - fairness in care delivery and use of resources
Nonmaleficence: - a commitment to do no harm
2025 – Includes Rationales, Models, and Scenarios
ANA; Scope AND Standards of Practice: - The ANA develops, revises, and maintains the
scope of practice of all professional nurses
The ANA STANDARDS of Practice: - Standards of performance and code of ethics for
nurses are part of the public recognition of the significance of nursing practice and implications
regarding trends in healthcare
Code of ethics: - For nurses with interpretative statements continues to be the
foundational moral document of American Nursing. It encompasses the professions values,
obligations, ethical standards, aspirations, and ideals
Nurse Practice Acts (NPA's): - State and provincial nurse practice acts establish specific
legal regulations and establish standards of practice for nursing care that vary by state
Caregiver: - Provide nursing care. As a caregiver you help patients maintain and regain
health, manage disease and symptoms, and attain a maximal level of function and
independence through the healing process, and help the patient and family set outcomes
Advocate: - "Speaking up" for the client act to help promote the clients autonomy, in a
supportive way. Ensure patients autonomy and self determination are reflected
Educator: - educate, teach, discharge planning. May include informal or unplanned
teaching during casual conversations, or pre-planned and organized educational sessions
Communicator: - high-quality communication is essential for all nursing roles and
activities. Therapeutic communication. Coordination of care, interdisciplinary communication
Manager: - Delegation, supervision, and assignments
Clinical Judgement: - Observed outcome of critical thinking and decision making
Clinical Decision Making: - Separates professional nurses from technicians or others
assistive personnel (AP)
The Nursing Process: - Relate nursing assessment, planning, implementation, and
evaluation to health and wellness
ADPIE/ Assessment: - gathering data/ subjective vs. objective
, ADPIE/ Diagnosis: - nursing diagnosis/ actual vs. risk for nursing diagnosis (NOT medical
diagnoses)
ADPIE/ Planning: - plan goals and outcomes/ SMART goals (Specific, measure, attainable,
realistic, timed)
ADPIE/ Implementation: - take action/ direct care vs. indirect care and ADL's (activities of
daily living) vs. IADL's (instrumental activities of daily living)
ADPIE/ Evaluation: - evaluate whether nursing care was effective or not. Observe any
changes in the patient.
Subjective: - What the client or family states, feelings, self-reported things, perceptions,
clients symptoms: pain, nausea, fatigue, headache. Client states "I don't feel well" or Clients
family states "they have a headache" etc.
Objective: - What someone observes and can measure (see, touch, hear, smell). EX:
observing, inspecting, palpating, auscultating, and measuring.
Direct care includes: - turning client, ambulation, administering pain medication,
education
Indirect care includes: - charting, interdisciplinary communication, and delegation of care
to others
Activities of daily living: - ambulation, toileting, eating, dressing, bathing etc.
Instrumental activities of daily living: - shopping, caring for pets, home maintenance,
preparing meals
Assessments vs. Evaluation: - A: new stuff
E: evaluate new things/ what's changed/ have we met goals
Autonomy: - the right to make ones own personal decisions, even when those decisions
might not be in their own best interest
Beneficence: - action that promotes good for others, without any self-interest
Fidelity: - fulfillment of promises
Justice: - fairness in care delivery and use of resources
Nonmaleficence: - a commitment to do no harm
