Neuro Assessment Worksheet
6 Pages

Neuro Assessment Worksheet

Course Number: NURS V40, Fall 2011

College/University: Ventura College

Word Count: 157

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Student Date NEUROLOGICAL ASSESSMENT AREA TESTED RESPONSE (PEER) (describe behavior) HOW TESTED Diagnosis: RESPONSE (CLIENT) (describe behavior) Affect Memory Calculation Judgment/Insight (Abstract thinking) Central function Level of Consciousness Mental Status Orientation 40 Cranial Nerves HOW TESTED RESPONSE (PEER) RESPONSE (CLIENT) Shape...

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Date Student NEUROLOGICAL ASSESSMENT AREA TESTED RESPONSE (PEER) (describe behavior) HOW TESTED Diagnosis: RESPONSE (CLIENT) (describe behavior) Affect Memory Calculation Judgment/Insight (Abstract thinking) Central function Level of Consciousness Mental Status Orientation 40 Cranial Nerves HOW TESTED RESPONSE (PEER) RESPONSE (CLIENT) Shape Equality Reaction to light Accommodation Consensual Light Reflex Convergence Conjugate movements Peripheral vision Reading ability Pupils Size 41 RESPONSE (PEER) (describe behavior) HOW TESTED RESPONSE (CLIENT) (describe behavior) Auditory Hearing Rhine test Weber test Face Motor facial Motor: trigeminal Sensory: (PEER) (describe trigeminal Nose Smell 42 RESPONSE behavior) HOW TESTED RESPONSE (CLIENT) (describe behavior) Mouth Sensory: facial Gag reflex (Sensory/Motor) Glosso-pharangeal Hypoglossal Neck and Shoulders Spinal Accessory (motor) Sensory Pain Temperature Upper and Lower Extremities 43 RESPONSE (PEER) (describe behavior) HOW TESTED RESPONSE (CLIENT) (describe behavior) Light touch Positioning Stereognosis Muscle strength Muscle tone Muscle coordination Motor Upper and Lower Extremities: 44 RESPONSE (PEER) (describe behavior) HOW TESTED RESPONSE (CLIENT) (describe behavior) Reflexes: Biceps Triceps Brachioradial Achilles Gait Balance 45
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