Which sequence correctly describes the core steps of the nursing process?

• A. Assessment, diagnosis, planning, implementation, evaluation
• B. Diagnosis, assessment, planning, evaluation, implementation
• C. Assessment, planning, implementation, evaluation, diagnosis
• D. Evaluation, assessment, diagnosis, planning, implementation

Answer: (A)

Following a structured nursing process means moving from data collection to diagnosing, to planning, to implementing, and finally to evaluating. Start by gathering comprehensive information about the patient—physical findings, symptoms, history, and context. That data is then interpreted to identify actual or potential problems, which informs the plan: setting specific, measurable goals and choosing interventions to achieve them. After planning comes implementation, putting those interventions into action to address the patient’s needs. The process concludes with evaluation, looking at how the patient responded, whether goals were met, and what needs to be adjusted. This cycle keeps care data-driven and patient-centered, and it naturally loops back if goals aren’t met or new information arises. For example, once assessment reveals pain and elevated vitals, a nursing diagnosis is made, a plan with pain relief and monitoring is created, interventions are carried out, and evaluation checks whether pain decreased and vitals stabilized. Sequences that skip steps or reorder them undermine the logical flow and safety of care.