Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes when spoken to, talks in sentences but is confused and shows as the best motor response: withdraws the limb from pressure (normal flexion). Find the Glasgow Coma Scale total GCS = E + V + M.
Clinical assessment scores worksheet with answers
Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes spontaneously, is oriented to person, place and time and shows as the best motor response: obeys commands. Find the Glasgow Coma Scale total GCS = E + V + M.
Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Morse fall scale: history of falling in the last 3 months: no; secondary diagnosis: yes; ambulatory aid: none, bed rest or nurse assists; IV therapy or saline lock: yes; gait: normal, bed rest or wheelchair; mental status: overestimates or forgets limits. Find the Morse total MFS.
Practice exercise (made-up values, not clinical guidance). A practice chart records GCS 10, with E3 and V3. What motor score M was recorded, and which response does it describe? Give the number.
Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Braden scale: sensory perception: very limited; moisture: rarely moist; activity: bedfast; mobility: slightly limited; nutrition: probably inadequate; friction and shear: potential problem. Use the bands 19–23 not at risk, 15–18 mild, 13–14 moderate, 10–12 high and 9 or below very high. Click the risk level.
- 1not at risk
- 2mild risk
- 3moderate risk
- 4high risk
- 5very high risk
Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Braden scale: sensory perception: very limited; moisture: constantly moist; activity: chairfast; mobility: completely immobile; nutrition: adequate; friction and shear: potential problem. Use the bands 19–23 not at risk, 15–18 mild, 13–14 moderate, 10–12 high and 9 or below very high. Click the risk level.
- 1not at risk
- 2mild risk
- 3moderate risk
- 4high risk
- 5very high risk
Answer key
- 1. GCS = 11
- 2. GCS = 15
- 3. MFS = 50
- 4. M = 4
- 5. moderate risk
- 6. high risk
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