Page 152 - Critical Care Notes
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4223_Tab05_141-174  29/08/14  8:28 AM  Page 146



                                   NEURO

                   Mini Mental Status Examination

              Task     Instructions   Scoring       Score
           Date     “Tell me the date.” Ask for  1 point each for
           orientation  omitted items.  year, season, date,
                                      day of week, and
                                      month
           Place    “Where are you?” Ask for  1 point each for
           orientation  omitted items.  state, county, town,
                                      building, and floor
                                      or room.
           Register three  Name three objects slowly  1 point each for
           objects  and clearly. Ask patient to  each item repeated
                    repeat them.      correctly
           Serial 7s  Ask patient to count back-  1 point for each
                    ward from 100 by 7. Stop  correct answer (or
                    after 5 answers (or ask  letter)
                    patient to spell “world”
                    backwards).
           Recall three   Ask patient to recall   1 point for each
           objects  the objects mentioned   item remembered
                    previously.       correctly
           Naming   Point to your watch and  1 point for each
                    ask, “What is this?” Repeat correct answer
                    with a pencil.
           Repeating a   Ask patient to say “No ifs,  1 point if successful
           phrase   ands, or buts.”   on first try
           Verbal   Give patient a plain piece  1 point for each
           commands  of paper and say, “Take  correct answer
                    this paper in your right
                    hand, fold it in half, and
                    put it on the floor.”
           Written   Show patient a piece of  1 point if patient
           commands  paper with “Close your  closes eyes
                    eyes” printed on it.
                                                   Continued



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