Neurological Assessment Case Study
All the answers are correct EXCEPT “Have you ever heard voices inside your head that no one else hears?”
Blood pressure and heart rate and rhythm.
-“Do you ever feel…”
-“Does the dizziness…”
-“Did it feel like…”
Affirm the client’s difficulty and question her about when this first started.
The client’s ability to comprehend what she is being asked.
Oriented to situation.
Question her about how she arrived at the hospital today.
The client indicated the need to notify her daughter that she is in the hospital.
Hold a penlight to the side of one eye.
Observe for symmetric facial movement.
Apply resistance to the client’s shoulders.
Ask the client to touch her thumb to each finger.
Squeeze my fingers with both hands at the same time.
Perform a palmar drift test.
Place a comb in the client’s left hand and ask her to identify the object.
Strike the thumb with the reflex hammer.
Explain to the client that the reflex response was normal.
Call the client’s name.
-Eye opening response.
The client’s designated power of attorney for health care.