What is the correct sequence of the nursing process?

Appeared in: DSSSB 12 August 2024

Explanation

The nursing process is a systematic, problem-solving method used by nurses to provide individualized patient care.
It consists of five sequential and interrelated steps that must be performed in a specific order.
The correct order is universally known by the mnemonic ADPIE: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
This sequence ensures that care is logical, starting with data collection and moving through problem identification, goal setting, action, and finally, review of outcomes.

Option A: This sequence is incorrect. It begins with Diagnosis instead of Assessment, which is the foundational first step. It also incorrectly repeats the Implementation step.
Option B: This sequence is incorrect. It starts with Evaluation, which is the final step of the process, and ends with Diagnosis. The order is completely mixed up.
Option C: This sequence is incorrect because it places Planning before Diagnosis. A nurse must first analyze data and identify a problem (Diagnosis) before they can create a plan to address it.

Clinical Relevance

Nursing practice connection: Safe nursing care depends on performing The five sequential steps of the nursing process (ADPIE) in the correct sequence, documenting the action clearly, and monitoring for the expected response.
The nursing process provides a universal, scientific framework for nurses to deliver patient-centered care, ensuring that actions are systematic, evidence-based, and logical.
Adhering to the ADPIE sequence is critical for patient safety. Skipping or reordering steps can lead to missed diagnoses, inappropriate interventions, and poor patient outcomes.
In legal and professional accountability, proper documentation of each step of the nursing process serves as evidence of the quality and appropriateness of care provided.

How to Approach the Question

First, identify that the question asks for the 'correct sequence' of the nursing process. This is a foundational knowledge question.
Recall the standard five-step model of the nursing process.
Use the mnemonic 'ADPIE' to remember the correct order: A (Assessment), D (Diagnosis), P (Planning), I (Implementation), E (Evaluation).
Systematically evaluate each option against the ADPIE mnemonic.
Eliminate Option A and B immediately because they do not start with 'Assessment'.
Compare Option C and D. Note that Option C incorrectly swaps 'Planning' and 'Diagnosis'. A diagnosis must be made before a plan can be formulated.

Concept Tested & Keywords

Q_wyjJJN9EofAmbLr4Co2E

E6 Nursing Fundamentals Taylor pp. 431-433, 481-483

E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart B (pp 340-678 of 1017) p. 98-100

Practise the full DSSSB 12 August 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.