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Steps of the Nursing Process (5)
AAPIE = Assess, Analyze, Plan, Implement, Evaluate (cyclical; may
repeat steps)
Order of the nursing process
Assessment → Analysis → Planning → Implementation → Evaluation
Assessment
Gather data from the client through interview, physical exam, and
observation to make judgments (chart/diagnostics review
included). Mnemonic: "S.O.S." = Subjective, Objective, Scan record
,Analysis
Use clinical judgment to evaluate data collected to formulate the
client's problems, including actual and potential problems; consider
learning
readiness/barriers. Mnemonic: "J-PAL" = Judgment, Problems, barriers
to Learning
Planning
Use problem-solving and decision-making skills to prioritize
outcomes and goals, and develop interventions to meet those goals
(with RN/client/family using EBP/standards).
Implementation
Carry out the interventions that have been established; use clinical
judgment to monitor the client's progress toward achieving
their goals; teach/coordinate care. Mnemonic: "DO-T" = Do
interventions, Observe response, Teach
Evaluation
Assess the effectiveness and achievability of the goals and the need
for interventions to be adjusted; document achieved/revised/new
goals.
Mnemonic: "MRS" = Met? Revise. Sustain/Set new
, Subjective data
What the client SAYS (symptoms/reason for visit). Mnemonic: "S" =
Said by client (quote when charting)
Objective data
What the nurse SEES/MEASURES (vitals, exam findings, behaviors).
Mnemonic: "O" = Observed/Obtained by nurse
Unexpected findings—what to do
Assess further + report appropriately. Mnemonic: "AR" = Assess more,
Report up (notify RN/provider per role)
PN role in the nursing process
Assist the RN with data collection and other delegated tasks.
Comprehensive assessment is completed by the RN. Care plan is a
collaborative effort between RN and client with PN assistance.
Nursing process order question clue
If it asks "best order," default AAPIE unless a safety threat
demands immediate action. Mnemonic: "Airway beats
paperwork"