An elderly client who was found unresponsive at home now opens his eyes when spoken to and answers simple questions when asked; and left alone usually sleeps. The nurse would document this information in the Glasgow Coma Scale using the categories of
A) best verbal response and best motor response.
B) eye opening and best verbal response.
C) eye opening and motor activity.
D) motor activity and motor response.

Question

Quizplus · Accepted Answer

Eye opening: If the eyes are closed, call the client's name. Best verbal response: Verbal responses assess the client's orientation to self, environment, and time. A motor response can be elicited by asking the client to wiggle his/her toes.

An Elderly Client Who Was Found Unresponsive at Home Now