NIH Stroke Scale traININg aNd certIfIcatIoN
exam QueStIoNS aNd VerIfIed
aNSwerS/accurate SolutIoNS| already
graded a+.
rate what they actually do - SOLUTION-
tips for scoring - SOLUTION-use patient's first response
-
expression of words on a note card
0 = normal
1 = mild to moderate slurring
2 = severe slurring
NIH extinction / inattention - SOLUTION-ask patient to close eyes, ask patient to close eyes,
alternatively touch patient's left or right side. ask patient to state which side touched.
0=
1=
2=
, calculating the scores - SOLUTION-total the sum
ataxia - SOLUTION-lack of muscle coordination, reflects the affected coordination of one who
has experienced a stroke
Significance of NIH stroke scale - SOLUTION-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? - SOLUTION-no, it is a measuring tool of
impairments.
Relevance to medical specialties - SOLUTION-emergency physicians, neurologists
- SOLUTION-- 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 - SOLUTION-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*
exam QueStIoNS aNd VerIfIed
aNSwerS/accurate SolutIoNS| already
graded a+.
rate what they actually do - SOLUTION-
tips for scoring - SOLUTION-use patient's first response
-
expression of words on a note card
0 = normal
1 = mild to moderate slurring
2 = severe slurring
NIH extinction / inattention - SOLUTION-ask patient to close eyes, ask patient to close eyes,
alternatively touch patient's left or right side. ask patient to state which side touched.
0=
1=
2=
, calculating the scores - SOLUTION-total the sum
ataxia - SOLUTION-lack of muscle coordination, reflects the affected coordination of one who
has experienced a stroke
Significance of NIH stroke scale - SOLUTION-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? - SOLUTION-no, it is a measuring tool of
impairments.
Relevance to medical specialties - SOLUTION-emergency physicians, neurologists
- SOLUTION-- 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 - SOLUTION-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*
