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Neurobehavioral Rating Scale (NRS) Sample

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44 views4 pages

Neurobehavioral Rating Scale (NRS) Sample

Uploaded by

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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This is a Sample version of the

Neurobehavioral Rating Scale (NRS)

The full version of the Neurobehavioral Rating Scale (NRS)


comes without ‘sample’ watermark.
.
The full complete version includes –
 Overview
 Scoring Guide
 Complete 27 item questionnaire/Test

Buy full version here - for $6.00

Once you have paid for your item you will receive a direct link to download
your full complete e-book instantly. You will also receive an email with a link to download
your e-book. Each purchased product you order is available to download for 24 hours from
time of purchase.
Neurobehavioral Rating Scale (NRS)

Overview:

Recognizing a need for a psychometric instrument that can assess the presence
and chronicity of acquired deficits stemming from brain injury, Levin et al.
developed the Neurobehavioral Rating Scale (NRS) in 1987. Its purpose was to
provide a brief, easy-to-administer tool designed to measure changes in
neurobehavioral functioning following traumatic brain injury. The NRS is a 27-
item, multidimensional instrument focusing on the assessment of neurobehavioral
disturbance with each of the scale comprising a separate dimension. Based on a
structured interview targeting identified concerns and symptoms in specific
aspects of behavioral and cognitive functioning, the examiner evaluates
responses and integrates observational data to characterize the patient's level of
neurobehavioral functioning.

In a clinical setting the NRS as a clinician based instrument can be one source of
information about a patient’s pattern of improvement and residual behavioural
deficits when combined with reports from relevant others and the patient’s self-
appraisal. This provides the clinician with a basis from which to determine the
accuracy of the patient and family perspective, which can be important for
rehabilitation planning.

NRS is well suited as a secondary outcome measure in that it quantifies important


features of neurobehavioral recovery and places minimal demands on the patient
(compared with formal neuropsychological assessment) to carry out basic tasks of
reasoning, temporal orientation, memory, language comprehension and
expression, and mental calculation. Although certainly not a substitute for a
comprehensive neuropsychological evaluation, the NRS-R provides complimentary
information about behavioural disturbances which are otherwise difficult to
quantify, and which neuropsychological testing alone does not provide
Neurobehavioral Rating Scale 

(NRS) Assessment: 




1. INATTENTION/REDUCEO ALERTNESS-fails to sustain 
attention, easily distracted; fails to notice aspects of 

environment, difficulty directing attention, decreased       
alertness. 

2. SOMATIC CONCERN-volunteers complaints or elaborates 
about Somatic symptoms (e.g., headache, dizziness. blurred 
     
vision), and about physical health in general.

3. DISORIENTATION-confusion or lack of proper association
     
for person. place, or time.

4. ANXIETY-worry. Fear. over concern for present or future.
     

5. EXPRESSIVE DEFICIT-word-finding disturbance, anomia. 

pauses in speech, effortful and agrammatic speech.      
Circumlocution. 

6. EMOTIONAL WITHDRAWAL-lack of spontaneous 
interaction. Isolation, deficiency in reacting to others.      


7. CONCEPTUAL DISORGANIZATION-thought processes 
confused, disconnected, disorganized, disrupted; tangential 
     
social communication; perseverative. 

8. DISINHIBITION-socially inappropriate comments and/or 

actions. including aggressive/sexual content, or 


inappropriate to the situation, outbursts of temper.      

9. Guilt Feelings-self-blame. shame. remorse for past

behavior.
 
10. MEMORY DEFICIT-difficulty learning new information, 

rapidly forgets recent events, although immediate recall 
(forward digit span) may be intact.      

11. AGITATION-motor manifestations of over activation 
(e.g. kicking. arm flailing. picking, roaming, restlessness. 
Talkativeness.)      


12. INACCURATE INSIGHT AND Self-APPRAISAL--poor 

insight, exaggerated opinion, overrates level of ability and
     
underrates personality change in comparison with 
evaluation by clinicians and family. 


13. DEPRESSIVE MOOD-sorrow, sadness, despondency, 
pessimism.    




This is the end of the sample NRS. 

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