CVA specific Assessment Questions With Complete Solutions

What are highly recommended tests for stroke pts in acute care? correct answer: 1. Orpington Prognostic Scale 2. Postural Assessment Scale for Stroke Patients (PASS) 3. Stroke Rehabilitation Assessment of Movement (STREAM) What are highly recommended tests for pts w/ stroke in rehabilitation? correct answer: 1. Fugl Meyer Assessment Motor Performance 2. FIM 3. Postural Assessment Scale for Stroke Patients (PASS) 4. Stroke Impact Scale (SIS) 5. Stroke Rehabilitation Assessment of Movement (STREAM) what are the 6 ANPT core measures that should be used w/ all adults w/ neurological disorders? correct answer: 6 minute walk test 10 meter walk test Berg Balance Scale Functional Gait Assessment Activities Specific Balance Confidence Scale 5x Sit to Stand test What is the Orpington Prognostic Scale? correct answer: measure of stroke severity -high test retest interrater reliability What score indicates a minor stroke on the Orpington Prognostic Scale? correct answer: <3.2 what score indicates a moderate stroke on the Orpington Prognostic Scale? correct answer: 3.2-5.2 What score indicates a major stroke on the Orpington Prognostic Scale? correct answer: >5.2 Validtiy: in pts w/ acute stroke, a score of <3.2 on the Orpington Prognostic Scale meant.... correct answer: d/c home within 3 weeks Validity: in pts w/ acute stroke a score of >5.2 on the Orpington Prognostic Scale meant.... correct answer: d/c to long term care Validity: in pts w/ acute stroke, a score of 3.2-5.2 on the Orpington Prognostic Scale meant..... correct answer: benefit from intensive rehab Predictive validity for Orpington Prognostic Scale correct answer: score at 2 weeks post CVA correlated with improvements in FIM score What items are included in the Orpington Prognostic Scale correct answer: Motor deficit in arm (0-1.6) 0 =5/5 strength 1.6 =1/5 strength Proprioception (thumb) (0-1.2) 0=accurate 1.2 =unable to locate thumb Balance (0-1.2) 0= walks 10 ft. without help 1.2 = no sitting balance Cognition test for Orpington Prognostic Scale correct answer: Hodkinson's Mental Test (10 items) 0= score of 10 1.2 = score of 0-4 Questions include: Age of the patient, Time (to nearest hour), Address of the patient, Name of the hospital, Yea