Right now I am doing the Stroke Scale education and I am wondering about patients who have receptive aphasia. How do you assess these patients for NIH standards? For example, I've had a patient with this and they could perform all the movements/tasks just not when asked. They would do them randomly throughout the day but if you asked they'd just stare at you. How do you recommend following NIH guidelines to score these patients? I've had a neurologist say just watch them throughout the day and see what they can do but some of my fellow nurses disagree. I think if they can do the task the score should be the same as if I had asked them and they completed it. Thought I'd ask the experts ?