NIH Stroke Scale

NIH Stroke Scale questions and answers latest topscore. How many items on the NIH stroke scale? - correct answers.11 NIH Stroke scale is - correct 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) - correct s of: consciousness vision motor function (facial and extremities) cerebellar function sensation language extinction or inattention NIH SS is used to measure patient's status after a stroke and to assess the outcome after - correct ment Should the patient be coached? Should you go back and rethink a particular assessment? - correct answers.NO Having what when using NIH scale is important? - correct ence materials DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY - correct only what they actually do use patient"s first response? - correct answers.YES - DO NOT USE SUMMARY OF RESPONSES re ataxia score 1-if real weak, assume ataxia score is... 2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test, that's probably... 3) Important to know if ataxia is present or not and if present in _____ or _______ limbs 4) if patient very weak or paralyzed, the ataxia score is... - correct answers.1) 0 2) ataxia 3) 1 or 2 4) 0 You should only score loss of sensation if you can really demonstrate... - correct they have loss of sensation if patient has sensory loss from neuropathy, do you count thatt? - correct , but you do if there's loss on top of the neuropathy aphasia is difficult because it can take a while to go through the battery and it can be subjective as to whether it is one of which classification? - correct , mod, severe start to recognise aphasia when you meet them and start talking and you don't get a history of... - correct happened dysarthria is interesting because there are many cultural things about slurred ________? - correct h. Score is associated with prognosis? - correct answers.YES Is NIH scale a measure of disability? - correct answers.NO. The NIH scale is a measure of impairments. The NIH scale creates a common currency so that everybody understands the patient's level of... - correct it, by giving a number that communicates to other professionals how sick the patient is how much time to budget to perorm NIH scale - correct answers.7-10 mins What effort should be recorded? Do not do what? - correct answers.The patient's first effort. Don't go back and change scores. IMPORTANT CONVENTIONS IN ADMINISTRATION: Administer scale items in their exact ______ -Avoid ______ing patient -Accept patient's _______ effort -Score only what the patient _______ -Be consistent -Include all _________s into scoring, including those that may be from _________s ______s - correct answers.-order -coaching -first -does -Be consistent -previous strokes ITEM 1a and how to get it - correct answers.-examiner's overall impression of patient alertness -ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping, occasionally pinching NIH Item 1a Scoring: 0 1 2 3 - correct answers.-Alert -Not alert, aroused w/ minor verbal stim -Not alert, requires strong or painful stim -Only reflexive movements or totally unresponsive ITEM 1a - patient w/ 3 on this item is generally considered to be in... 3 is scored ONLY if patient makes no movement other than.... - correct answers.a coma reflexive posturing in response to noxious stimulation If difficult to determine 1 vs 2 in item 1a, continue with... - correct al hx qs until confident in assigning a score - THIS IS ONLY TIME IN NIH scale where you can go back EVEN IF PRESENTED WITH OBSTACLES OR BARRIERS, YOU MUST CHOOSE A - correct answers.SCORE NIH Item 1B based on responses to two items: When? -What about patient - correct answers.-month of year -patient's age ITEM 1B SCORING 0 1 2 - correct answers.-answers both qs correctly