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A descriptive study was undertaken to ascertain that the cognitive assessment done by nursing staff on patients' admission to a rehabilitation hospital specifically relates to the rehabilitation population. The study took place on a 40-bed general rehabilitation unit. Eighteen patients were evaluated consecutively using a modified mental status examination. Findings demonstrated that the initial cognitive assessment of the rehabilitation patient should include level of consciousness, orientation, insight, recall, attention, visual-spatial skills, affect, and speech. In this article, the authors describe the study results and illustrate the implications for rehabilitation nursing in a case study.