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NDT 3

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Question
Answer
Patient appears to be in a deep sleep   1. No Response  
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Completely unresponsive to any stimuli   1. No Response  
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Reacts inconsistently and nonpurposefully to stimuli in a nonspecific manner   2. Generalized Response  
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Responses are limited & often the same regardless of stimulus presented   2. Generalized Response  
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Responses may be physiological changes, gross body movements, and/or vocalization   2. Generalized Response  
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Reacts specifically but inconsistently to stimuli   3. Localized Response  
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Responses are directly related to the type of stimulus presented   3. Localized Response  
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May follow simple commands such as closing eyes or squeezing hand in an inconsistent, delayed manner   3. Localized Response  
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Heightened state of activity   4. Confused- Agitated  
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Behavior is bizarre and nonpurposeful relative to immediate environment   4. Confused- Agitated  
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Does not discriminated among persons or objects   4. Confused- Agitated  
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Unable to cooperate directly with treatment efforts   4. Confused- Agitated  
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Verbalizations frequently are incoherent and/or inappropriate to the environment   4. Confused- Agitated  
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Confabulation may be present   4. Confused- Agitated  
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Gross attention to environment is very brief   4. Confused- Agitated  
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Selective attention is often nonexistent   4. Confused- Agitated  
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Lacks short and long term recall   4. Confused- Agitated  
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Able to respond to simple commands fairly consistently   5. Confused- Inappropriate  
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Increased complexity of commands or lack of any external structure, responses are nonpurposeful, random, or fragmented   5. Confused- Inappropriate  
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Demonstrates gross attention to the environment but is highly distractible and lacks ability to focus attention on a specific task.   5. Confused- Inappropriate  
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With structure may be able to converse on a social automatic level for short periods of time   5. Confused- Inappropriate  
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Verbalization is often inappropriate and confabulatory   5. Confused- Inappropriate  
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Memory is severely impaired   5. Confused- Inappropriate  
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Often shows inappropriate use of objects   5. Confused- Inappropriate  
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May perform previously learned tasks with structure but is unable to learn new information   5. Confused- Inappropriate  
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Shows goal-directed behavior but is dependent on external input or direction   6. Confused- Appropriate  
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Follows simple directions consistently and shows carryover for relearned tasks such as self-care   6. Confused- Appropriate  
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Responses may be incorrect due to memory problems, but they are appropriate to the situation   6. Confused- Appropriate  
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Past memories show more depth and detail than recent memory   6. Confused- Appropriate  
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Appears appropriate and oriented within the hospital and home settings   7. Automatic- Appropriate  
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Goes through daily routine automatically, but frequently robotlike   7. Automatic- Appropriate  
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Shows minimal to no confusion and has shallow recall of activities   7. Automatic- Appropriate  
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Shows carryover for new learning but at a decreased rate   7. Automatic- Appropriate  
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With structure is able to initiate social or recreational activities   7. Automatic- Appropriate  
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Judgement remains impaired   7. Automatic- Appropriate  
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Able to recall and integrate past and recent events and is aware of and responsive to environment   8. Purposeful- Appropriate  
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Shows carryover for new learning and needs no supervision once activities are learned   8. Purposeful- Appropriate  
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May continue to show a decreased ability relative to premorbid abilities, abstract reasoning, tolerance for stress, and judgement in emergencies or unusual circumstances   8. Purposeful- Appropriate  
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Created by: PT2014
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