Mental Status Examination Sheet (Levenson, 2005) printable pdf download

Mental Status Examination Sheet (Levenson, 2005)

Mental status examination sheet (Levenson, 2005)

Level of consciousness

Constructional ability

• Alert, drowsy, somnolent, stuporous, comatose;

• Clock drawing to assess neglect, executive function,

fluctuations suggest delirium

and planning

Appearance and behavior

• Drawing of a cube or intersecting pentagons to assess

parietal function

• Overall appearance, grooming, hygiene

Mood and affect

• Cooperation, eye contact, psychomotor agitation or

retardation

• Mood: subjective sustained emotion

• Abnormal movements: tics, tremors, chorea, posturing

• Affect: observed emotion—quality, range, appropriateness

Attention

Form and content of thought

• Vigilance, concentration, ability to focus, sensory neglect

• Form: linear, circumstantial, tangential, disorganized,

Orientation and memory

blocked

• Content: delusions, paranoia, ideas of reference, suicidal

• Orientation to person, place, time, situation

or homicidal ideation

• Recent, remote, and immediate recall

Perception

Language

• Auditory, visual, gustatory, tactile, olfactory hallucinations

• Speech: rate, volume, fluency, prosody

Judgment and insight

• Comprehension and naming ability

• Abnormalities include aphasia (remembering words), dysarthria

• Understanding of illness and consequences of specific

(motor speech disorder), agraphia (writing & spelling),

treatments offered

Alexia (reading), neologisms (personal meaning), echolalia (repetition

Reasoning

of words and sounds)

• Illogical versus logical; ability to make consistent decisions

Levenson (2005), p 7

TABLE 1–3. The mental status examination:

Source. Adapted from Hyman and Tesar 1994.

Nosology: Classification of diseases and their development

Pathogenesis: Study of cause and specific development of diseases

Etiology: Study of cause and originiation of diseases

Epidemiology: Study of distribution and determinants of health- states (including diseases)

Mental Status Examination Sheet (Levenson, 2005)

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