PRACTICE GUIDE 2026 FULL SOLUTION
◉ tips for scoring. Answer: use patient's first response
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◉ ataxia. Answer: lack of muscle coordination, reflects the affected
coordination of one who has experienced a stroke
◉ Significance of NIH stroke scale. Answer: necessary prognostic
tool for discerning deficits within different parts of body.
provides in common language to understand nature of stroke and
severity amongst interdisciplinary team.
◉ is the NIH stroke scale a measure of disability?. Answer: no, it is a
measuring tool of impairments.
◉ Relevance to medical specialties. Answer: emergency physicians,
neurologists
◉ . Answer: - administer scale items in their - exact order
, - avoid coaching patient
- accept patient's 1st effort
- score only what patient does
- be consistent
◉ NIH level of consciousness item 1a. Answer: 0 = alert
1 = not alert; aroused with minor verbal stimulation
2 = not alert; requires strong or painful stimulation
3 = reflex movements only or totally unresponsive *coma*
◉ NIH level of consciousness item 1B. Answer: based on 2 questions
1) patient's age
2) month
0 = answers both questions correctly
1 = answers one question correctly
2 = answers neither questions correctly
◉ NIH level of consciousness item 1C. Answer: ask patient to
perform 2 tasks
1) close your eyes, now open them