NUR 303 CH 13-21 Nursing Process Mastery Guide: ADPIE Systematic
Assessment, Nursing Diagnoses, NANDA, Subjective & Objective Data, Initial,
Focused, Emergency, Time-Lapsed, Triage Assessments, ABC Prioritization,
Maslow Needs, Inspection, Palpation, Percussion, Auscultation,
Problem/Etiology/Symptoms, SMART Goals, STEEEP Quality Outcomes,
Cognitive/Psychomotor/Affective Planning, Nurse/Physician/Collaborative
Interventions, Direct & Indirect Care, 5 Rights of Delegation, Implementation
Strategies, Evaluation Criteria & Standards,
Psychomotor/Physiologic/Affective/Cognitive Outcomes, Documentation,
EMR/EHR/SOAP/PIE/Focus Charting, Charting by Exception, Joint Commission
Standards, 4 P’s Hourly Rounding – Complete NCLEX/HESI Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026
The Nursing Process
-A systematic method that directs the nurse, with the patient's participation, to accomplish the
following: (1) assess the patient to determine the need for nursing care, (2) determine nursing
diagnoses for actual and potential health problems and needs, (3) identify expected outcomes
and plan care, (4) implement the care, and (5) evaluate the results.
-Person-centered, outcome-oriented process
-ADPIE (PG. 364)
Assessment
,-Systematic and continuous collection, analysis, validation, and communication of patient data,
or information
-The first phase, "The registered nurse collects pertinent data and information relative to the
healthcare consumer's health or the situation" (ANA definition) (PG.404)
-Nursing assessment should be purposeful, prioritized, complete, systematic, factual and
accurate, relevant, and recorded in a standard manner. (PG. 406)
Initial assessment
performed shortly after the patient is admitted to a health care facility or service. (PG. 407)
Focused assessment
the nurse gathers data about a specific problem that has already been identified. (PG. 407)
Quick priority assessments
are short, focused, prioritized assessments you do to gain the most important information you
need to have first. (PG. 407)
Emergency assessment
life-threatening problems (PG 407)
, Time-lapsed assessment
scheduled to compare a patient's current status to the baseline data obtained earlier. (PG 408)
Triage assessment
professionals who screen patients to determine the extent and severity of their problems and
then recommend appropriate follow-up (emergency) (PG.411)
Subjective data
information perceived only by the affected person (PG. 414)
Objective data
observable and measurable data that can be seen, heard, felt, or measured by someone other
than the person experiencing them. (PG414)
Sources of data: (PG. 416)
Primary: The patient
Assessment, Nursing Diagnoses, NANDA, Subjective & Objective Data, Initial,
Focused, Emergency, Time-Lapsed, Triage Assessments, ABC Prioritization,
Maslow Needs, Inspection, Palpation, Percussion, Auscultation,
Problem/Etiology/Symptoms, SMART Goals, STEEEP Quality Outcomes,
Cognitive/Psychomotor/Affective Planning, Nurse/Physician/Collaborative
Interventions, Direct & Indirect Care, 5 Rights of Delegation, Implementation
Strategies, Evaluation Criteria & Standards,
Psychomotor/Physiologic/Affective/Cognitive Outcomes, Documentation,
EMR/EHR/SOAP/PIE/Focus Charting, Charting by Exception, Joint Commission
Standards, 4 P’s Hourly Rounding – Complete NCLEX/HESI Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026
The Nursing Process
-A systematic method that directs the nurse, with the patient's participation, to accomplish the
following: (1) assess the patient to determine the need for nursing care, (2) determine nursing
diagnoses for actual and potential health problems and needs, (3) identify expected outcomes
and plan care, (4) implement the care, and (5) evaluate the results.
-Person-centered, outcome-oriented process
-ADPIE (PG. 364)
Assessment
,-Systematic and continuous collection, analysis, validation, and communication of patient data,
or information
-The first phase, "The registered nurse collects pertinent data and information relative to the
healthcare consumer's health or the situation" (ANA definition) (PG.404)
-Nursing assessment should be purposeful, prioritized, complete, systematic, factual and
accurate, relevant, and recorded in a standard manner. (PG. 406)
Initial assessment
performed shortly after the patient is admitted to a health care facility or service. (PG. 407)
Focused assessment
the nurse gathers data about a specific problem that has already been identified. (PG. 407)
Quick priority assessments
are short, focused, prioritized assessments you do to gain the most important information you
need to have first. (PG. 407)
Emergency assessment
life-threatening problems (PG 407)
, Time-lapsed assessment
scheduled to compare a patient's current status to the baseline data obtained earlier. (PG 408)
Triage assessment
professionals who screen patients to determine the extent and severity of their problems and
then recommend appropriate follow-up (emergency) (PG.411)
Subjective data
information perceived only by the affected person (PG. 414)
Objective data
observable and measurable data that can be seen, heard, felt, or measured by someone other
than the person experiencing them. (PG414)
Sources of data: (PG. 416)
Primary: The patient
