NLE Fundamentals of Nursing & the Nursing Process — The Nursing Process (ADPIE)Concept Map

Related concepts

Concept connections

• Assessment Phase→Diagnosis PhaseAssessment data is analyzed and validated to formulate nursing diagnoses
• Diagnosis Phase→Planning PhaseDiagnoses are prioritized and goals/outcomes are established for each diagnosis
• Planning Phase→Implementation PhasePlanned interventions are executed to achieve established goals and outcomes
• Implementation Phase→Evaluation PhaseInterventions are completed and outcomes are assessed for achievement
• Evaluation Phase→Assessment PhaseEvaluation results trigger reassessment and continuation of the nursing process cycle
• Critical Thinking→All ADPIE PhasesCritical thinking underpins decision-making throughout all phases of the nursing process
• Maslow's Hierarchy→Planning PhaseMaslow's framework is the primary method for prioritizing nursing diagnoses and goals
• ABC Prioritization→Planning PhaseABC (Airway, Breathing, Circulation) hierarchy is integrated with Maslow for physiologic priorities
• NANDA-I Classifications→Diagnosis PhaseNANDA-I provides the standardized framework for nursing diagnosis classification and formatting
• PES Format→Actual DiagnosesPES (Problem-Etiology-Signs/Symptoms) is the required format for actual nursing diagnoses
• PE Format→Risk DiagnosesPE (Problem-Evidence) is the required format for risk diagnoses without signs/symptoms
• SMART Goals→Planning PhaseSMART criteria ensure goals are specific, measurable, achievable, realistic, and time-bound
• Patient-Centered Care→All ADPIE PhasesPatient perspective and involvement are central to all phases of the nursing process
• Evidence-Based Practice→Implementation PhaseImplementation must be grounded in current evidence and best practices
• Five Rights of Delegation→Implementation PhaseThe five rights guide safe and appropriate delegation of nursing tasks
• Documentation→All ADPIE PhasesEach phase must be documented; documentation occurs after interventions, not before
• RA 9173→Nursing Practice ScopePhilippine Nursing Practice Law defines the legal scope and independent functions of nurses
• Subjective Data→Assessment PhaseSubjective data (symptoms) is gathered only from the primary source: the patient
• Objective Data→Assessment PhaseObjective data (signs) are observable, measurable findings from physical examination
• Validation Process→Assessment PhaseValidation distinguishes cues from inferences and prevents premature diagnostic conclusions
• Data Organization→Assessment PhaseData is clustered and organized by body systems or functional health patterns
• Collaborative Problems→Diagnosis PhaseCollaborative problems are potential complications requiring both nursing and medical interventions
• Independent Interventions→Implementation PhaseNurse-initiated interventions are within nursing scope and require no physician order
• Dependent Interventions→Implementation PhasePhysician-ordered interventions executed by nurses following medical orders
• Collaborative Interventions→Implementation PhaseTeam-based interventions requiring coordination with other healthcare professionals
• Reassessment→Implementation PhasePatient conditions are reassessed before implementing planned interventions
• Goal Achievement→Evaluation PhaseActual patient outcomes are compared against established goals to determine achievement
• Plan Revision→Evaluation PhaseIf goals are not met, the care plan is revised based on evaluation findings
• Actual vs Risk Diagnoses→Planning PhasePrioritization principle: actual problems are addressed before risk problems
• Acute vs Chronic Problems→Planning PhasePrioritization principle: acute problems take precedence over chronic problems
• Emergency Situations→Implementation PhaseIn life-threatening scenarios, immediate intervention precedes formal assessment
• Stable Situations→Assessment PhaseIn stable situations, assessment is the first step before proceeding through ADPIE
• Cues and Inferences→Critical ThinkingCritical thinking skill: distinguish objective cues from nurse interpretations
• Primary Source→Assessment PhaseThe patient is the primary data source and preferred for subjective and objective information
• Secondary Sources→Assessment PhaseRecords, family, and other professionals provide supporting context and secondary data
• Physical Examination Methods→Assessment PhaseInspection, palpation, percussion, auscultation are systematic PE techniques; abdominal exam has unique sequence
• Focused Assessment→Assessment PhaseFocused assessment targets specific problems or systems when a complete assessment is not necessary
• Initial Assessment→Assessment PhaseComprehensive baseline assessment performed on admission establishing the patient database
• Ongoing Assessment→Assessment PhaseContinuous reassessment throughout care to detect changes and guide intervention adjustments
• Abdominal Exam Sequence→Assessment PhaseUnique sequence for abdominal exam: inspect, auscultate, percuss, palpate (not standard order)
• NLE Test Strategy→All ADPIE PhasesTest strategy applies nursing process logic to NLE scenario questions for correct answer selection
• First Action Decision→Critical ThinkingDetermining whether to assess first or intervene immediately depends on scenario urgency
• Philippine Healthcare Context→All ADPIE PhasesPhilippine healthcare delivery system and RA 9173 define nursing practice environment and legal scope
• NCM Competency Levels→Nursing Practice StandardsNCM levels define expected nursing competencies aligned with ADPIE framework

Diagrams