Introduction to the Nursing
Process | Complete Study
Guide with Questions and
Answers (Updated 2024)
NURSING PROCESS
PAGEMASTER
, 1. The nursing care plan includes five steps to initiate and provide patient care:
ADPIE
(ASSESSMENT; DIAGNOSIS; PLANNING; IMPLEMENTATION; EVALUATION.)
1. Assessment is the first step in creating a nursing care plan and includes patient
history, assessment of cultural and social beliefs, physical examination, and psychological
evaluation.
2. The nursing diagnosis is the clinical decision made by the nurse about the patient or
the family members based on actual or potential health issues.
3. During the planning phase, the nurse sets a patient-centered goal, identifies the
outcomes, and plans the nursing interventions accordingly.
4. Implementation follows planning and involves carrying out the planned
interventions to facilitate reaching established patient goals.
5. During the fifth step, the nurse evaluates the progress of the patient in reaching the
identified goals. If new problems are identified, the nurse would start the process again.
2. Standing Orders:
Standing orders are preprinted documents containing orders for the conduct of routine therapies,
monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical
problems.
They are common in critical care settings and other specialized practice settings in which patients'
needs change rapidly and require immediate attention.
3. The RN instructs the LPN to administer an oral analgesic to the patient as per the prescription.
Which step of the nursing process did the nurse assign to the LPN?
The RN delegates patient care responsibilities to other members of the health care team according to
the established scope of practice. Among all the phases of the nursing process, only the activities of
the implementation phase can be delegated. Administering an oral analgesic is an activity performed
during the implementation phase. During the planning phase, the nurse plans the interventions based
on the nursing diagnosis. During the evaluation phase, the nurse determines the effectiveness of the
nursing interventions. Assessment involves data collection through patient interviews and diagnostic
tests.
4. Clinical Practice Protocol:
Clinical practice protocol is a set of guidelines that helps health care providers to make decisions
about appropriate health care.
5. Health Promotion Nursing Diagnosis:
A health promotion nursing diagnosis is a clinical judgment. The clinical judgment can be of a person's,
family's, or community's motivation, desire, and readiness to increase wellbeing and actualize human
health potential.
6. Standing Order:
A standing order is a printed document that consists of orders for management of clinical problems. A
standing order allows the nurse to intervene in the management of patient care (without waiting for
directives from the primary healthcare provider) in case of emergencies.
7. The nurse finds that the patient outcomes have not been achieved after the implementation of
interventions. The nurse also identifies aspects of the nursing care plan that need to be modified.
Which step of the nursing process do these actions address?
The nursing process consists of assessment, diagnosis, planning, implementation, and evaluation.
(ADPIE)
During the EVALUATION stage, the nurse analyzes the findings for any new data or problems in the
patient. Based on these findings, the nurse may modify the nursing care plan.
Process | Complete Study
Guide with Questions and
Answers (Updated 2024)
NURSING PROCESS
PAGEMASTER
, 1. The nursing care plan includes five steps to initiate and provide patient care:
ADPIE
(ASSESSMENT; DIAGNOSIS; PLANNING; IMPLEMENTATION; EVALUATION.)
1. Assessment is the first step in creating a nursing care plan and includes patient
history, assessment of cultural and social beliefs, physical examination, and psychological
evaluation.
2. The nursing diagnosis is the clinical decision made by the nurse about the patient or
the family members based on actual or potential health issues.
3. During the planning phase, the nurse sets a patient-centered goal, identifies the
outcomes, and plans the nursing interventions accordingly.
4. Implementation follows planning and involves carrying out the planned
interventions to facilitate reaching established patient goals.
5. During the fifth step, the nurse evaluates the progress of the patient in reaching the
identified goals. If new problems are identified, the nurse would start the process again.
2. Standing Orders:
Standing orders are preprinted documents containing orders for the conduct of routine therapies,
monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical
problems.
They are common in critical care settings and other specialized practice settings in which patients'
needs change rapidly and require immediate attention.
3. The RN instructs the LPN to administer an oral analgesic to the patient as per the prescription.
Which step of the nursing process did the nurse assign to the LPN?
The RN delegates patient care responsibilities to other members of the health care team according to
the established scope of practice. Among all the phases of the nursing process, only the activities of
the implementation phase can be delegated. Administering an oral analgesic is an activity performed
during the implementation phase. During the planning phase, the nurse plans the interventions based
on the nursing diagnosis. During the evaluation phase, the nurse determines the effectiveness of the
nursing interventions. Assessment involves data collection through patient interviews and diagnostic
tests.
4. Clinical Practice Protocol:
Clinical practice protocol is a set of guidelines that helps health care providers to make decisions
about appropriate health care.
5. Health Promotion Nursing Diagnosis:
A health promotion nursing diagnosis is a clinical judgment. The clinical judgment can be of a person's,
family's, or community's motivation, desire, and readiness to increase wellbeing and actualize human
health potential.
6. Standing Order:
A standing order is a printed document that consists of orders for management of clinical problems. A
standing order allows the nurse to intervene in the management of patient care (without waiting for
directives from the primary healthcare provider) in case of emergencies.
7. The nurse finds that the patient outcomes have not been achieved after the implementation of
interventions. The nurse also identifies aspects of the nursing care plan that need to be modified.
Which step of the nursing process do these actions address?
The nursing process consists of assessment, diagnosis, planning, implementation, and evaluation.
(ADPIE)
During the EVALUATION stage, the nurse analyzes the findings for any new data or problems in the
patient. Based on these findings, the nurse may modify the nursing care plan.
