SalusPrep

Practical Nurse NCLEX®

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Clinical Judgment

ADPIE Nursing Process

Fall Risk on Medical Unit · 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

An 84-year-old with osteoporosis and a history of falls is admitted after a ground-level fall at home. Morse Fall Scale score is 75.

Nursing statements

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

Observe gait, balance, and orthostatic vital signs.
Keep bed in lowest position, call light within reach, and non-skid footwear on.
Review Morse Fall Scale score and history of previous falls.
Document absence of falls and reassess Morse score each shift.
Client will remain free of falls during hospitalization.
Risk for falls related to unsteady gait and orthostatic hypotension.
Apply wrist restraints to prevent all movement out of bed.

Trash, not part of the process

0

Drop irrelevant statements here

A, Assessment

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Drop statements here

D, Diagnosis

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Drop statements here

P, Planning

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Drop statements here

I, Implementation

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Drop statements here

E, Evaluation

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Drop statements here