NUR 120 Neurological Assessment
Exam Questions and Answers
mental status - Answer-level of consciousness, speech, and cognitive function
Level of Consciousness - Answer-orientation
orientation - Answer-time, place, person, and situation
Glascow Coma Scale - Answer-eye opening, verbal response, and motor response;
highest value is 15-full responsiveness, 8 COMA, and 3 lowest score
Speech - Answer-listen to how patient expresses thoughts, chooses correct words,
clear speech, dysarthria, aphasia, disorganized
Cognitive/Intellectual - Answer-memory, attention span, level of knowledge, ability for
calculation, abstract thinking, insight, judgement, and though process
Memory - Answer-short term or long term
Attention Span - Answer-observe patient: can patient stay on task or does the patient
need redirected often
Calculation Ability - Answer-be careful not to embarass pt, lack of mathematical ability
or anxiety can effect performance; pt might be asked how much changed they would
receive back if the total was $3 and the pt gave $5
Abstract Thinking - Answer-Ask the patient to explain ;People who live in glass houses
should not throw stones; Ask patient to interpret cliché
Insight - Answer-Objective assessment of the patient's perception of illness: "What do
you think caused your chest pain?" "Do you think your drinking has something to do
with your failing liver?"
Judgement - Answer-Ask the patient how they would respond to a specific situation or
dilemma; "What would you do if you were in a building that was on fire?"; "What would
you do if you locked your keys in the car?"
Thought process - Answer-Processing differences; Rapid change in topic, Use of made-
up words, Paranoia
Thought content - Answer-Disordered thought patterns; Delusions
and Hallucinations
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