MENTAL STATUS EVALUATION

Question 1

1. ORIENTATION

Answer 1

ASK PTS.

NAME, DATE, LOCATION

Question 2

2. ALERTNESS
   ATTENTION
   COOPERATION

Answer 2

• SPELL A WORD FORWARD & BACKWARD
• REPEAT A STRING OF INTEGERS FORWARD AND BACKEARD
• NAME MONTHS FORWARD AND BACKWARD

Question 3

3. MEMORY

Answer 3

RECENT: RECALL 3 ITEMS AFTER 5 MIN. DELAY
REMOTE: RECALL HISTORICAL FACTS W/I MEMORY.

Question 4

4. LANGUAGE

Answer 4

OBJECT NAMING: NAME 3 OBJECTS/SHAPES
REPETITION: REPEAT WORD/SENTENCE
READING: READ A SENTENCE

Question 5

5. CALCULATIONS:

Answer 5

+/- ; 2> STEPS

Question 6

6. APRAXIA

Answer 6

COMPLEX MOTOR COMMAND:

“PRETEND TO COMB UR HAIR”

Question 7

7. SEQUENCING TASKS

Answer 7

PAT HANDS ON LEGS;

PRONAT./ SUPIN. HANDS

Question 8

8.ABSTRACTION

Answer 8

INTERPRET A WORD/PROVERB

“EARLY BIRD GETS WORM”