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Assessing Neurologic System

This document contains a nursing interview guide to collect subjective data from a client about their neurologic system. The guide includes questions about current symptoms, past medical history, family history, lifestyle and health practices, and directions for the nurse to analyze the collected data to formulate nursing diagnoses, problems, and referrals if needed.

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Arianne Kate
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21 views

Assessing Neurologic System

This document contains a nursing interview guide to collect subjective data from a client about their neurologic system. The guide includes questions about current symptoms, past medical history, family history, lifestyle and health practices, and directions for the nurse to analyze the collected data to formulate nursing diagnoses, problems, and referrals if needed.

Uploaded by

Arianne Kate
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assessing Neurologic System

Student: Date:___________________

Nursing Interview Guide to Collect


Subjective Data from the Client
Questions Findings
Current Symptoms
1. Headaches, numbness, or tingling?
2. Seizure activity?
No problems in balance and coordination
3. Dizziness, lightheadedness, or
problems with balance or coordination?
Dcerase in ability to taste
4. Decrease in ability to smell or taste?
None
5. Ringing in ears?
Right eye has 25 in vision
6. Change in vision?
7. Difficulty understanding when people
are talking to you or when you talk to
others?
8. Difficulty swallowing?
9. Loss of bowel or bladder control?
10. Memory loss?
11. Tremors?
Past History
Never have been into a head injury
1. Head injury?
None
2. Meningitis?
None
3. Encephalitis?
None
4. Spinal cord injury?
None
5. Stroke?
6. Treatment received?
Family History
Father side
1. High blood pressure?
Father side
2. Stroke?
None
3. Alzheimer disease?
None
4. Epilepsy?
None
5. Brain cancer?
None
6. Huntington chorea?
Lifestyle and Health Practices
1. Any prescription or nonprescription
Nursing Interview Guide to Collect
Subjective Data from the Client
medications?
2. Smoking?
3. Wearing of seat belts/protective
headgear?
4. Daily diet?
5. Exposure to lead, insecticides,
pollutants, chemicals?
6. Lifting of heavy objects?
7. Frequent repetitive movements?
8. Functioning/daily activities?
Analysis of Data
1. Formulate nursing diagnoses
(wellness, risk, actual).
2. Formulate collaborative problems.
3. Make necessary referrals.

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