Which sequence correctly represents the steps of the nursing process (ADPIE)?

• A. Assessment, Diagnosis, Planning, Implementation, Evaluation
• B. Assessment, Planning, Diagnosis, Implementation, Evaluation
• C. Diagnosis, Assessment, Planning, Implementation, Evaluation
• D. Planning, Assessment, Diagnosis, Implementation, Evaluation

Answer: (A)

The nursing process follows a logical, data-driven sequence. First, assessment gathers comprehensive information about the patient’s condition and needs. With that data in hand, diagnosis interprets the findings to identify actual or potential problems. Next, planning uses the diagnosed issues to set patient-centered goals and decide on appropriate nursing interventions. Then implementation puts the plan into action, carrying out the chosen interventions. Finally, evaluation checks whether the goals were met and determines if the plan needs to be adjusted. This order matters because decisions are built on gathered data and analyzed problems, ensuring care is targeted and effective. Moving steps out of order—planning or implementing without a complete assessment, or diagnosing without sufficient data, or evaluating before acting—would undermine care and safety.