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Sally Horton — Neurological Assessment Study Guide

Complete Shadow Health Neurological Assessment for Sally Horton. Ischemic stroke presentation — left facial droop, right-sided weakness, expressive aphasia, NIHSS score 8. Complete cranial nerve examination CN I-XII, NIHSS administration, Glasgow Coma Scale and CT interpretation documented. Used in GCU and Walden health assessment programs.

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Clinical Overview

Sally Horton — Neurological Assessment

Sally Horton presents with sudden onset severe headache described as "the worst of her life," neck stiffness, photophobia and vomiting beginning approximately two hours ago at rest. The Shadow Health Neurological Assessment covers an emergency neurological interview, cranial nerve examination (CN I–XII), motor and sensory testing, cerebellar function, Kernig's and Brudzinski's signs for meningeal irritation and Glasgow Coma Scale assessment. Differential diagnosis addresses subarachnoid haemorrhage, bacterial meningitis and hypertensive emergency. The urgent management plan includes CT head, lumbar puncture consideration, neurosurgery referral and blood pressure management.

What this case guide reviews
Primary Diagnosis
Suspected subarachnoid haemorrhage — emergency CT and neurosurgery referral
Used In
South University, GCU, Aspen University and other BSN programs
What this case guide reviews
  • ✓neurological interview sequence and scored topics
  • ✓NIHSS — all 11 items scored (score: 8)
  • ✓Full cranial nerve examination CN I-XII
  • ✓Glasgow Coma Scale assessment
  • ✓Motor strength testing — bilateral
  • ✓Sensory assessment — light touch and proprioception
  • ✓CT head interpretation documentation
  • ✓Stroke protocol and tPA eligibility assessment
  • ✓EHR Provider Notes — student and model
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About This Case

Sally Horton — Shadow Health Case Overview

The Sally Horton Shadow Health case is a neurological nursing simulation focused on ischemic stroke assessment. Sally presents with an NIHSS score of 8, left facial droop, right arm weakness, and expressive aphasia. Students must complete a thorough neurological assessment, score the NIHSS accurately, prioritize safety interventions, and document a time-sensitive SBAR for the neurology team.

Use this Sally Horton — Neurological Assessment case guide to review the clinical sequence, connect patient-reported information with observed findings, and organize an independent response. Confirm every conclusion against your course rubric, assigned simulation and clinical judgment.

Students use these materials to check their own work, understand what the platform rewards, and ensure their submission is complete before the deadline. The documents are written to reflect what a competent, thorough nurse would actually produce — not generic template answers.

How to use
Use the case details to review assessment priorities and prepare your own work.
Independent review
Compare the case evidence with your course rubric and clinical judgment.
Resource status
The complete PDF is not currently published. Ask support about availability.
Patient case review

How to study the Sally Horton — Neurological Assessment case

Use the case details as one connected clinical sequence. Review the interview, scored findings and documentation together, then prepare an independent response that follows your course instructions and clinical judgment.

Audit the interview sequence

Start with the opening concern, then trace every follow-up question that clarifies onset, duration, severity, associated symptoms, relevant history, medication use and effects on daily activity. This makes it easier to distinguish a complete patient interview from a list of disconnected prompts and helps reveal which scored items still need direct clarification.

Map subjective data to the case

Group the patient-reported details under the categories used by the assessment instead of memorizing isolated answers. Connect the chief concern, history of the present problem, medical and family history, social context, review of systems and safety information to the clinical picture already described on this page.

Check objective selections

Review each observed or measured finding beside the related subjective evidence. Confirm that selected findings support the case and that normal findings are not ignored, because normal results can narrow the differential and show why a more serious alternative is less likely.

Compare the provider note

Read the student and model documentation for structure, clinical wording and consistency. The history, examination, assessment, education and follow-up plan should describe the same encounter. Remove unsupported assumptions and make sure every conclusion can be traced back to patient data or an examination finding.