Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Download
Standard view
Full view
of .
Look up keyword
Like this
5Activity
0 of .
Results for:
No results containing your search query
P. 1
Mental Status Examination Form

Mental Status Examination Form

Ratings: (0)|Views: 490|Likes:

More info:

Published by: Lm Gregorio Constantino on Jan 14, 2011
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOCX, PDF, TXT or read online from Scribd
See more
See less

02/06/2013

pdf

text

original

 
MENTAL STATUS EXAMINATIONPERSONAL DATA: Name: Date:Address: TimeAge: Occupation: Nationality: Religion:Date of Admission: Reason of Admission:Medical Diagnosis:Attending Physician:I. GENERAL DESCRIPTIONBehavior & Psychomotor ActivityA. General Mobility: Normala. Posture & GaitJustification: assistance. b. Action & Gesture( ) Normal ( ) InappropriateJustification:
 
c. Facial Expression( ) smiling ( ) Worried ( ) Sad( ) Ecstatic ( ) Tense ( ) Tearful( ) Happy ( ) Frightening ( ) Distant( ) Angry ( ) SuspiciousJustification:B. Behavior ( ) Depressed ( ) Impulsive ( ) Angry( ) Embarrassed ( ) Negativistic ( ) Seductive( ) Indifferent ( ) Withdrawn ( ) ManicJustification:C. NURSE- PATIENT INTERACTIONa. Attention( ) Cooperative ( ) Uncooperative( ) Intitially ( ) Lately ( ) All through outJustification: b. Quality( ) Warm ( ) Distant ( ) Dependent( )Hostile ( ) Suspicious ( ) Talkative
 
Justification:.II. EMOTIONAL STATE & REACTION MOODa. Mood( ) Depressed ( )Angry ( ) Frightened( )Anxious ( )Suspecious ( ) TalkativeJustification: b. Affect( ) Appropriate ( ) InappropriateJustification:c. Quality( ) Flat ( ) BluntedIII. NEUROVEGETATIVE FUNCTIONA. Sleep( ) Normal ( ) Hypersomnia( ) Early Insomnia ( ) Late Insomnia

Activity (5)

You've already reviewed this. Edit your review.
1 thousand reads
1 hundred reads
nasibdin liked this
Eac Rcy liked this
ianlepail liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->