3290 (Foundations)
🔷 Overview of the Nursing Process
The nursing process is a systematic, patient-centered, goal-oriented framework for
delivering nursing care. It ensures critical thinking and clinical judgment.
Mnemonic: ADPIE
● Assessment
● Diagnosis (Nursing)
● Planning
● Implementation
● Evaluation
🔹 1. Assessment
● Collect subjective data (what the patient says) and objective data (what you
observe/measure).
● Use primary (patient) and secondary (family, medical records) sources.
● Methods: inspection, palpation, percussion, auscultation, interviewing.
🧠 NCLEX Tip: Prioritize airway, breathing, circulation (ABCs) and vital signs during initial
assessment.
✅ Example NCLEX stem:
Which of the following is the most appropriate initial action by the nurse during
patient admission?
🔹 2. Nursing Diagnosis
● A clinical judgment about patient responses to health conditions.