NIH Stroke Scale Training and Certification Exam Question & Answers (SCORED A)NIH Stroke Scale Training and Certification Exam Question & Answers (SCORED A)

tips for scoring - ANSWER -use patient's first response - 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