SalusPrep

Practical Nurse NCLEX®

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Clinical Judgment

ADPIE Nursing Process

Preoperative Anxiety · L1

How this exercise works

Drag each nursing statement into Assessment, Diagnosis, Planning, Implementation, or Evaluation. Only one phase fits each statement — look for data vs. action cues.

Fundamental concept

How systematic ADPIE thinking supports safe practical nursing care, aligned with HHS quality initiatives.

Read: The Nursing Process: Assessment Through Evaluation →

Scenario

A client scheduled for cholecystectomy in 2 hours reports nausea, trembling, and says, "I'm terrified I won't wake up."

Nursing statements

Drag each statement into the correct ADPIE phase, or into trash if it does not belong.

Use calm voice, active listening, and clarify misconceptions about anesthesia.
Note verbalized fears and nonverbal signs of distress.
Anxiety related to unfamiliar environment and perceived loss of control.
Reassess anxiety rating and vital signs after intervention.
Assess anxiety level, vital signs, and understanding of the procedure.
Client will verbalize reduced fear and demonstrate calm breathing before transport.
Tell the client not to worry because surgery always goes perfectly.

Trash — not part of the process

0

Drop irrelevant statements here

A — Assessment

0

Drop statements here

D — Diagnosis

0

Drop statements here

P — Planning

0

Drop statements here

I — Implementation

0

Drop statements here

E — Evaluation

0

Drop statements here