Glasgow coma scale has all, except:

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023

Explanation

Sensory response is not a component of the Glasgow Coma Scale (GCS).
The GCS is a standardized tool used to objectively assess a patient's level of consciousness.
It evaluates three key areas of responsiveness: Eye opening (E), Verbal response (V), and Motor response (M), often remembered by the mnemonic EVM.

Option A: Verbal response is a core component of the GCS, assessing a patient's orientation and ability to communicate.
Option B: Motor response is the most heavily weighted component of the GCS, evaluating the patient's ability to move in response to commands or stimuli.
Option D: Eye opening is a fundamental component of the GCS that measures a patient's level of arousal and wakefulness.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Components of the Glasgow Coma Scale (GCS) as background academic context rather than a clinical decision trigger.
Nurses frequently use the GCS in settings like the ICU, emergency department, and neurology units to perform rapid neurological assessments and monitor for changes in a patient's condition.
A decline in the GCS score is a critical finding that may indicate neurological deterioration (e.g., due to increased intracranial pressure) and requires immediate notification of the physician.
What if the patient is intubated and cannot provide a verbal response? The verbal component cannot be assessed, and the score is documented with a 'T' (e.g., GCS 7T). In such cases, the FOUR score, which does not include a verbal component, can be a useful alternative.

How to Approach the Question

First, identify the negative keyword 'except' in the question. This indicates you must find the option that does NOT belong.
Recall the fundamental components of the Glasgow Coma Scale.
Use the mnemonic EVM to remember the three components: Eye opening, Verbal response, and Motor response.
Systematically evaluate each option against the EVM components.
Options A (Verbal response), B (Motor response), and D (Eye opening) are all parts of the GCS.
The option 'Sensory response' is not included in the GCS assessment, making it the correct answer to this 'except' question.

Concept Tested & Keywords

Concept Tested: Components of the Glasgow Coma Scale (GCS)
Stem keywords: Glasgow coma scale, GCS
Lead-in keywords: except
Negative lead-in flag: Question asks for the component that is NOT part of the GCS.

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E6 Nursing Fundamentals Taylor p. 412-414

E6 Medicine Harrison 22e Part 2 p. 1475-1477

Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.