Chapter 10-Neurologic Sytem

Question 1

When should a neurologic assessment be performed ?

Answer 1

Anytime a patient has changes in mental status
head injury
Stupor (reduced consciousness/unresponsiveness)
Dizziness
Drowsiness
Syncope (fainting)

Question 2

When does a nuerologic assessment begin? What are the simple ways in which it can be performed?

Answer 2

Before you even touch the patient
By talking with the patient, asking questions, and receiving an appropriate reply from the patient during primary assessment

Question 3

Evaluate the LOC and orientation to determine the patients ability to ______

Answer 3

Think

Question 4

To determine the patients mental status, use the ____

Answer 4

APVU

Question 5

Use of the ______ can be helpful in providing additional information on patients with changes in mental status

Answer 5

Glasgow Coma Scale (GCS)

Question 6

The GCS uses parameters that test what three aspects ?

Answer 6

Patients eye opening
best verbal response
best motor response

Question 7

The scale provides a numeric score that is associated with the severity of a patient’s _______

Answer 7

brain dysfunction

Question 8

This information provides baseline data on the patients overall neurologic status and can be used to determine if status is getting better or worse

Answer 8

True

Question 9

For any element that cannot be tested use ____

Answer 9

(NT) Not Testable

Question 10

Give examples of a non testable instance:

Answer 10

eye opening can’t be tested if patients eyes are swollen

verbal response cannot be tested in a patient who has mutism

motor response can’t be tested in a patient who has paralysis

Question 11

Score of 13-15 may indicate

Answer 11

mild dysfunction

Question 12

15 is also the score of a person who

Answer 12

has no neurological impairment

Question 13

A score of 9-12 may indicate

Answer 13

moderate dysfunction

Question 14

A score of 8 or less is indicative of _____

Answer 14

severe dysfunction