CORRECT WELL DETAILED ANSWERS|LATEST
What does NIHSS stand for? - ANSWER National Institute of Health Stroke Scale
What are 6 important conventions to remember when scoring a NIHSS? -
ANSWER Administer scale items in EXACT order
Avoid coaching the patient
Accept the patient's first effort
Score only what the patient does
Be consistent
Include all deficits in scoring
When administering an NIHSS what is important to remember about the order of the test? -
ANSWER Do not change the order of the testing, go in exact order to reproduce
results.
A nurse is administering a NIHSS. He/she re preforms the test after a poor first result. The
patient scores much better on the second attempt. Which test result should the nurse record
in the patient's records? Why? - ANSWER The first attempt. Only first attempts are
recorded as an attempt to keep the NIHSS uniform throughout healthcare.
What is the first item of the NIHSS? 1A - ANSWER Level of Consciousness
What are the four score levels for item 1A? - ANSWER 0 = Alert
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What does NIHSS stand for? - ANSWER National Institute of Health Stroke Scale
What are 6 important conventions to remember when scoring a NIHSS? -
ANSWER Administer scale items in EXACT order
Avoid coaching the patient
Accept the patient's first effort
Score only what the patient does
Be consistent
Include all deficits in scoring
When administering an NIHSS what is important to remember about the order of the test? -
ANSWER Do not change the order of the testing, go in exact order to reproduce
results.
A nurse is administering a NIHSS. He/she re preforms the test after a poor first result. The
patient scores much better on the second attempt. Which test result should the nurse record
in the patient's records? Why? - ANSWER The first attempt. Only first attempts are
recorded as an attempt to keep the NIHSS uniform throughout healthcare.
What is the first item of the NIHSS? 1A - ANSWER Level of Consciousness
What are the four score levels for item 1A? - ANSWER 0 = Alert
1
