The nursing process (ADPIE) Exam | Questions And Answers Latest {2024- 2025} A+
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What does ADPIE stand for? - Asses/data, Diagnosis, Planning, Implementation, Evaluation
How should you do an assessment overall? (3 things) - -Collect data (sight,hearing,smelling,touch)
-Talk to the patient
-Open ended questions rather than yes and no
What should be done after you have gathered all of your data? - Cluster the information by if they relate
to each other in groups
When should you not use open ended data during an interview? - When the patient is:
- emergency
- Alzheimer's or dementia
- sedated
-if language barrier get interpreter
- mental health impairment
What is the primary source for information? Secondary? - The patient is always the primary source and
family and friends are secondary
what does A & O x4 mean and what are the questions asked? - Alert and oriented with answering 4
questions
1. Name
2. Where you are
3. The data
4. Situation and what is going on
Subjective data - Anything the patient feels such as dizziness or nausea
, Objective data - Anything measurable like vital signs, or stumbling
Primary vs secondary objective data: - Primary: what the nurse sees
Secondary: another provider or family member (ex: if spouse saw husband stumbling)
Primary vs secondary subjective data: - Primary data: what patient tells you
Secondary data: family or provider
(Ex: wife tells nurse her husband has a headache)
Which Kind of data is more reliable? - Objective data
What are all of things you should Analize and take data for? - -interview (subjective)
- vital signs/lab work
-observation (patient general survey)
-past medical records
- family history
-report
- physical assessment head to toe
What does a physical assessment consist of? - Inspection, palpating, percussion, auscultation
Inspection - Starts the second you walk into the room- "general survey" step- overall examination of the
patient
Palpation - Use of touch to determine size, consistency, texture, temp, location, tenderness of skin,
Percussion what kinds are there - Direct: striking body
Indirect: placing hand on surface and slapping hand
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