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Registered Nurse (RN)
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The Nursing Process (ADPIE)
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Evaluation

Master Evaluation with Picmonic for Nursing RN

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Evaluation

Evaluation

Evaluator
Picmonic
The nursing process, known by the acronym ADPIE (assessment, diagnosis, planning, implementation and evaluation), is a five-step systematic approach to patient care using the fundamental principles of critical thinking, individualized patient approaches to treatment, goal-oriented tasks, and evidence-based practice recommendations. The nursing process organizes priority nursing actions and facilitates the application of critical thinking for nurses delivering care to patients and populations. It is a cyclical process with five components: Assessment, Diagnosis, Planning, Implementation, and Evaluation. It is used in conjunction with other strategies to prioritize care, such as the Maslow’s Hierarchy of Needs theory. Important to note, depending on your specific nursing curriculum, some schools may educate on slightly different nursing methods of “thinking like a nurse”. ADPIE and AAPIE are both still taught in nursing schools, with a diagnosis step in ADPIE vs AAPIE which includes analysis. The emphasis is more on AAPIE to reflect the current expectations of the NCLEX-RN® assessment and clinical judgment for nursing practice. This allows for a broader analysis of patient needs and improved patient care overall. Evaluation is the final step of the nursing process, and is vital to a positive patient outcome. After an intervention is done, the nurse must evaluate to ensure the desired outcome has been met. There may need to be frequent reassessment of the care plan depending upon overall patient condition, and there may need to be readjustments to the plan based on new assessment data. Some key terms on a nursing exam to make you aware that the question is asking you an evaluation question would be: “evaluate,” “outcome,” and “consider the degree of effectiveness.”
7 KEY FACTS
Consider the Effectiveness of Care
Nurse Considering the Effectiveness of Care on Care-bear

After the intervention portion of the nursing process is complete, evaluation of the plan is necessary to determine the effectiveness of care.

Reassess
Assess-man

Whenever the healthcare provider implements care, they must reassess to make sure the desired goals have been met. Reassessment may often be needed, depending on the patient’s ongoing condition.

Make Necessary Modifications
Modifying with a “M”

After an intervention, there must be ongoing assessment to ensure that the patient's desired health goals have been or are on their way to being reached.The plan of care may be adapted based on new assessment data, and necessary modifications can be implemented.

Continuously Ensure Favorable Patient Outcome
Infinity-symbol on Ensure for Healthy Patient to go Outside

Frequent reassessment of the patient’s health goals may often be needed, depending on the patient’s ongoing condition. This is done to make sure favourable outcomes for the patient.

TEST-TAKING STRATEGY: KEY WORDS
Evaluate
Evaluator

In nursing exam questions that are asking you to identify part of the nursing process, there is usually a key word or phrase in the stem that should make it easier to know which portion of the nursing process they are asking about. Once you have identified the key word, it will help you understand what question wants you to answer. In an evaluation question, the word “evaluate” is one of these keywords.

Outcome
Outside

In nursing exam questions that are asking you to identify part of the nursing process, there is usually a key word or phrase in the stem that should make it easier to know which portion of the nursing process they are asking about. Once you have identified the key word, it will help you understand what question wants you to answer. In an evaluation question, the word “outcome” is one of these keywords.

Consider the Degree of Effectiveness
Nurse Considering the Degree and Effectiveness on Chart

In nursing exam questions that are asking you to identify part of the nursing process, there is usually a key word or phrase in the stem that should make it easier to know which portion of the nursing process they are asking about. Once you have identified the key word, it will help you understand what question wants you to answer. In an evaluation question, the sentence, “Determine the degree of effectiveness” is an example of this.

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