The Nurse Is Involved in a Blood Pressure Clinic in the Community

The nurse is involved in a blood pressure clinic in the community, and an individual with possible stroke symptoms is brought for evaluation. Which findings in the FAST (Face, Arms, Speech, and Time) assessment indicate the need to call emergency personnel? (Select all that apply.)

A) The patient sways when asked to stand still with eyes closed.
B) The patient is unable to follow directions during the assessment.
C) The patient is unable to repeat a stated phrase exactly as it was stated.
D) The patient's face shows signs of uneven symmetry when asked to smile.
E) When asked to close the eyes and hold arms straight in front, one arm drifts downward.