NIH Stroke Scale Questions and Answers (100% Correct Answers) Already Graded A+

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NIH Stroke Scale Questions and Answers
(100% Correct Answers) Already Graded
A+


How many items on the NIH stroke scale?—Ans: 11
NIH Stroke scale is—Ans: an 11-item clinical evaluation instrument
widely used in clinical trials and practice to assess neurologic
outcome and degree of recovery from stroke.
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NIH Stroke Scale is used to quantify the effects of acute cerebral
ischemia on levels of ... (7 items)—Ans: levels of:
consciousness
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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—Ans: treatment
Should the patient be coached? Should you go back and rethink
a particular assessment?—Ans: NO
Having what when using NIH scale is important?—Ans: reference
materials
DO NOT RATE what you think the patient wants to do or what you
think they can do, RATE ONLY—Ans: rate only what they actually
do
use patient"s first response?—Ans: YES - DO NOT USE SUMMARY OF
RESPONSES

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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...—Ans: 1)
0
2) ataxia
3) 1 or 2
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4) 0
You should only score loss of sensation if you can really
demonstrate...—Ans: that they have loss of sensation
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if patient has sensory loss from neuropathy, do you count thatt?—
Ans: no, 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?—Ans: mild, mod, severe
start to recognise aphasia when you meet them and start talking
and you don't get a history of...—Ans: what happened
dysarthria is interesting because there are many cultural things
about slurred ________?—Ans: speech.
Score is associated with prognosis?—Ans: YES
Is NIH scale a measure of disability?—Ans: 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...—Ans: deficit, by giving a
number that communicates to other professionals how sick the
patient is
how much time to budget to perorm NIH scale—Ans: 7-10 mins

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What effort should be recorded? Do not do what?—Ans: 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—Ans: -order
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-coaching
-first
-does
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-Be consistent
-previous strokes
ITEM 1a and how to get it—Ans: -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—Ans: -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...