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Notice here the difference between the planning stage and the implementation stage.
Just like you don’t give your patient medication before you find out what’s really going on.NCSBN reports the 2018 NCLEX pass rates (for BSN programs) as 92.39%.The chart below shows NCLEX pass rates for ASN, diploma, and even LPN programs.Remember, assessments are always the first step in the process.Interventions should not be implemented, the fourth step, until an assessment has been done.Interestingly, the funny thing is that we actually use ADPIE in everyday situations without even realizing it. As the first step in the process, gathering all this information will allow you to proceed with the next step: your nursing diagnosis.Once you see how simple it is to think about, it will be easier to break it down during your exams. Well,” you say to yourself, “it seems to me from all my evidence here, that my coffee must’ve leaked out onto my computer, and therefore my computer is not working because it has gotten soaked with coffee! So just like that, in our clinical assessment, we make a nursing diagnosis, where we identify actual or potential medical /health risks.Let’s take a non-nursing example here to show you what we mean. The nursing diagnosis is developed by NANDA and should be prioritized based on Maslow’s hierarchy of needs.You wake up on Monday morning after a late night of studying for your nursing exam, and you know that you’re going to need an extra big cup of coffee. This diagnosis is key to the next step in the process: making a care plan.When you finally make it to class, you grab your computer out of your bag and open it up, but it won’t turn on. In this case, these would be things like your first impression and vitals. You would then set SMART goals, which is an acronym that stands for specific, measurable, attainable, realistic and timely short-and long-term goals for the patient.From here, we can move on to the implementation part of the process.