Components of a Nursing Neurological Examination

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A comprehensive neurological nursing assessment includes neurological observations with the use of various scales, growth and development, including fine and gross motor skills, sensory function, seizures and any other observations. A nurse should include the following points during neurological assessment:

• Assess level of consciousness
• Arm and leg movements, assess both right and left limbs and document any differences
• Pupil size, shape and reaction to light
• Vital sign changes

At the end of this topic, a nurse will be able to demonstrate techniques to:

• Determine mental status of a patient
• Obtain a Glasgow Coma Scale
• Assess the pupils
• Assess motor function

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