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Mental Status Examination

The document contains a checklist for assessing various mental health descriptors across several categories: general appearance and behavior, speech, motor activity, interaction, emotional state, experiences, thinking, sensorium and cognition, and insight. Descriptors are categorized and the evaluator marks "yes", "no", or provides remarks for each one. The checklist aims to provide a comprehensive evaluation of an individual's mental status.

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Susan Maglaqui
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131 views4 pages

Mental Status Examination

The document contains a checklist for assessing various mental health descriptors across several categories: general appearance and behavior, speech, motor activity, interaction, emotional state, experiences, thinking, sensorium and cognition, and insight. Descriptors are categorized and the evaluator marks "yes", "no", or provides remarks for each one. The checklist aims to provide a comprehensive evaluation of an individual's mental status.

Uploaded by

Susan Maglaqui
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Note: Put a check mark in the appropriate box of significant observed descriptor/s.

1. General Description
1.1. Appearance
Descriptors Yes No Remarks
Congruent apparent age      
Appropriate dressing      
Clean / Hygienic      
Good posture      
Good gait      
Appropriate facial expression      
With eye contact      
With pupil dilatation      
With pupil constriction      
Normal state of health & nutrition      
1.2. Speech
Descriptors Yes No Remarks
Rapid speech      
Slow speech      
Loud volume      
Soft volume      
Minimal speech      
Pressured speech      
Stuttering      
Slurring of words      
Unusual accents      
1.3. Motor Activity
Descriptors Yes No Remarks
Lethargic      
Tensed      
Restless      
Agitated      
With observed tics      
Grimaces      
Tremors      
Compulsive      

1.4. Interaction During Interview


Descriptors Yes No Remarks
Hostile      
Uncooperative      
Irritable      
Guarded      
Apathetic      
Defensive      
Suspicious      
Seductive      

2. Emotional State
2.1. Mood
Descriptors Yes No Remarks
Sad      
Fearful      
Hopeless      
Euphoric      
Anxious      
Happy      

2.2. Affect
Descriptors Yes No Remarks
Congruent / Appropriate      
Flat      
Labile      

3. Experiences
3.1. Perceptions
Descriptors Yes No Remarks
Hallucinations: Auditory      
Visual      
Tactile      
Gustatory      
Olfactory      
Illusions      

4. Thinking
4.1. Thought content
Descriptors Yes No Remarks
Delusion: Religious      
Somatic      
Grandiose      
Paranoid      
Thought broadcasting      
Thought insertion      
Depersonalization      
Hypochondriasis      
Ideas of reference      
Magical thinking      
Nihilistic ideas      
Obsession      
Phobia      
4.2. Thought process
Descriptors Yes No Remarks
Circumstantial      
Flight of ideas      
Loose associations      
Neologisms      
Perseveration      
Tangential      
Thought blocking      
Word salad      

5. Sensorium and Cognition


5.1. Level of consciousness
Descriptors Yes No Remarks
Confused      
Sedated      
Stuporous      
Oriented to: Time      
Place      
Person      
5.2. Memory
Descriptors Yes No Remarks
Intact remote memory      
Intact recent memory      
Intact immediate memory      

5.3. Level of concentration and calculation


Descriptors Yes No Remarks
Easily distracted      
With difficulty in simple math      
5.4. Information and Intelligence
Descriptors Yes No Remarks
With learning disability      
With learning difficulty      
Able to interpret simple proverb      
5.5. Judgment
Descriptors Yes No Remarks
Appropriate judgment      
With good relationship to others      
5.6. Insight
Descriptors Yes No Remarks
Accepts presence of problem      
Blames the problem on others      

Descriptive Analysis:

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