NURSING 1J02 - Lesson 03 - Neurological Assessment
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1. Neurological Exam - Pur- Detect neurological disease or injury
pose Monitor patient progress to determine appropri-
ate interventions
Establishes baseline for later comparison
2. Neurological Exam - In- Vital signs - injury to the brain and brain stem can
cludes make VS unstable
Level of consciousness (LOC)
Orientation
Speech
Facial symmetry
Motor and sensory function
Reflexes
Cranial nerve function
3. Mental Status - Compo- A-Appearance
nents B-Behaviour
C-Cognition
T-Thinking
4. Mental Status - Compo- posture, body movements, dress, grooming & hy-
nents - A-Appearance - giene
Explained
7. Mental Status - Compo- thought content, thought processes, perceptions
nents - T-Thinking - Ex-
plained
8. Commonalities between LOC
Mental Status + Neuro Orientation
Assessments - Listed
, NURSING 1J02 - Lesson 03 - Neurological Assessment
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9. Commonalities between Awake, alert, aware of stimuli from the environ-
Mental Status + Neuro ment and self and responds appropriately to stim-
Assessments - LOC - Ex- uli
plained
10. Commonalities between Alert
Mental Status + Neuro Lethargic
Assessments - LOC - Cat- Obtunded
egories - Listed Stupor
Coma
11. Commonalities between awake of easily roused, responds to stimuli ap-
Mental Status + Neuro propriately
Assessments - LOC -
Categories - Alert - Ex-
plained
12. Commonalities between inattentive, looks drowsy, decreased sponta-
Mental Status + Neuro neous movement
Assessments - LOC - Cat-
egories - Lethargic - Ex-
plained
13. Commonalities between difficult to rouse, confused when roused, wakes
Mental Status + Neuro only with shaking or loud shout, mumbled speech
Assessments - LOC - Cat-
egories - Obtunded - Ex-
plained
14. Commonalities between semicoma, unconscious, responds only to vigor-
Mental Status + Neuro ous shaking, moans/grumbles
Assessments - LOC - Cat-
egories - Stupor - Ex-
plained
15. Commonalities between completely unconscious, no response to pain or
Mental Status + Neuro external/internal stimuli
Assessments - LOC - Cat-
egories - Coma - Ex-
plained
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