PART 3 / CH 18
Folstein Mini-Mental State Exam (MMSE)
1. What is the: year _______ (1)
season _______ (1)
date _______ (1)
month _______ (1)
day _______ (1)
2. Where are we: state _______ (1)
country _______ (1)
town _______ (1)
hospital _______ (1)
floor _______ (1)
3. Name three objects _______ (3)
4. Serial 7’s, or spell “WORLD”
backwards _______ (5)
5. Recall of three objects _______ (3)
6. Name a pencil and a watch _______ (2)
7. Repeat “no ifs ands or buts” _______ (1)
8. Follow a 3-step command:
“Take this piece of paper
with your right hand, fold
it in half, and put it on the
floor” _______ (3)
9. Read and obey the following:
“Close your eyes.” _______ (1)
10. Write a sentence _______ (1)
11. Copy intersecting pentagons_______ (1)
Score _______ (30)
source: Folstein, Folstein, McHugh (1975) J Psychiat Res 12:189-198.
Mental Status Examination
Christine Finn
| Category | Assess (examples) |
|---|---|
| General Appearance | hygiene/grooming (well-groomed, malodorous, disheveled) |
| Movement | tics, tremors, psychomotor agitation or slowing, posturing, mannerisms |
| Attitude | (cooperative, threatening) |
| Eye Contact | |
| Speech | fluency, rate/volume/prosody |
| Mood | (in patient’s own words) |
| Affect | quality, range, appropriateness (flat, constricted, labile, …) |
| Though Process | linear -> tangential -> disorganized; ?thought blocking |
| Thought Content | delusions, obsessions/compulsions, phobias, preoccupations |
| Perception | hallucinations |
| Cognition | (see Folstein MMSE) abstraction, judgement, insight |
· Every patient should be asked about suicidal and homicidal
ideation.