ACTIVITY:

Identify a client. Conduct a Mental Status Examination and assess the cranial nerves.

I. Mental Status Examination

APPEARANCE

Neat Clean Disheveled Poor Grooming

Erect Posture Good eye contact

Others:
Inappropriate makeup

Description:
During the assessment, I saw that the patient was tidy and clean, had good eye contact, and was
attentive and was sitting in a comfortable erect posture.

BEHAVIOR

Calm Appropriate Restless Agitated

Compulsions Unusual actions Others:

Description:
I noticed that the patient was calm, relaxed, and responding appropriately to the question as I
interviewed him. When it came to addressing questions, he was quite helpful.

SPEECH

Appropriate Pressured Loose Association Loud

Soft Mute Others:

Description:
The patient speaks appropriately, smoothly, and softly when answering questions without
exaggeration during the interview.

MOOD/AFFECT

Appropriate Labile Flat Depressed Worried

 Anxious Angry Hopeless Others: Calm

Description:
During the interview, I noticed that the patient was in a good mood and was able to communicate
and respond adequately to the questions.

THOUGHTS

Appropriate Suicidal Ideations Hallucinations Delusions

Phobias Others:

Description:
During the interview, the patient's thoughts when answering are suitable, appropriate for
situation, and has no signs of difficulty when organizing his thoughts.

ABILITY TO ABSTRACT

Impaired: ___YES ___NO

Description:
The patient was able to clarify the differences between a pear and an apple, as well as respond
appropriately to the topic and scenario.

MEMORY

Impaired recent memory: ___YES ___NO

Impaired past memory: ___YES ___NO
Number of objects able to remember after 5 minutes: ___10_______

Description:
To test the patient's memory, I gave him a photo of several animals to recognize and name, as
well as a list of significant dates that occurred in his life, which he eagerly provided. He shows
no evidence of hallucination and his current and distant memories are both intact.

ESTIMATED INTELLIGENCE

___Below Average ___Average ___Above Average

Description:
I used easy to complex math puzzles and questionnaires to determine the patient's assessed
intelligence. He was given equations to solve, which he did accurately and rapidly.
 CONCENTRATION

___Able to focus ___Easily distractible

Able to subtract backward by 7s from 100 correctly until number _98__

ORIENTATION

Person ___ Time ___ Place ___ Situation ___

Description:
The patient is aware of the time, location, and situation in which he finds himself. He can
correctly state his name, date, and location.

JUDGMENT

Realistic decision making: ___YES ___NO

Description:
To assess the patient's capacity to make sound decisions, I presented him with a series of
hypothetical circumstances and asked him what he would do in each one. I was able to monitor
his actions as a result of this.

INSIGHT

___Good ___Fair ___Poor

Description:
When questioned about a hypothetical issue, the patient's insight was excellent, and he supplied
complete and suitable comments.

II. Cranial Nerves Assessment

Significance
Normal Patient’s
Cranial Nerve How did you elicit? Intact / Not
Response Response
Intact
With her eyes The patient Intact
To do the examination, I closed, the patient accurately
CN I: Olfactory asked my patient to was able to recognized and
identify the various discern the differentiated the
perfume fragrances different perfume scent and brand of
 before instructing him scents in each I had him sniff
to close his eyes and test nostril. each nostril with
each nostril. his eyes closed.
retaining the material

With no glasses, With either both or Intact

I asked the patient to the patient should one eye covered,
hold the phone at a be able to read he was able to read
distance of around 14 with each eye and smoothly and
inches. both eyes. more correctly with no
Stand 20 feet away from than two blunders errors.
a magazine and read the
CN II: Optic text on it (near vision).
(distant vision) and read
the letters on the wall
one at a time, covering
one eye.

With either both or one Both When exposed to Intact

CN III: eye covered, he was wellilluminated light, each pupil
Oculomotor able to read smoothly and dilates and
and properly with no poorlyilluminated contracts at the
errors. Shine a light people's pupils same time.
from the side on the should contract.
pupil with a penlight
and examine the pupil's
response as the patient
looks straight ahead.
Rep with the other
student. (oculomotor)

The patient is told to use
only his eyes to track
CN IV: Trochlear the movement of the
penlight.
(Trochlear)
The patient was
instructed to follow the
CN VI: Abducens rotating penlight
The patient should The penlight could
Intact
be able to follow be viewed by one
the penlight as it or both of the
moves in various patient's eyes at the
directions. same time when
they moved.
Both of the
patient's eyes He was able to
must move in the move both of his Intact
same direction. eyes at the same
 through the six stages. moment with ease.

The cardinal fields of

vision are the four
quadrants of the visual
field. (Abducens)
Instruct the client to The patient The patient was Intact
stare upward lateral to should be able to able to tell the
the sclera of his eye to distinguish difference between
elicit blink reflexes, between light and heat and cold and
then close his eyes and profound feelings, elicit corneal
place a piece of cotton
as well as hot and responses.
on his forehead. When
CN V: cold, and it should
patients were tested for
Trigeminal a deep sensory disorder, make them feel
they were also asked to something.
distinguish between Corneal reflexes
warmth and cold. should be present
in both the
reaction and the
client.
I urged the client to The patient should The patient was Intact
smile, puff out his be able to smile able to make a
cheeks, pout, wrinkle and lift his variety of facial
his brow, and display eyebrows while expressions with
his teeth. Raise your showing his upper ease, and all
eyebrows, close your movements were
CN VII: and lower teeth.
eyes tightly, and ask to asymmetrical. He
Facial The patient should
name the different tastes was also able to
on either side of your be able to
distinguish between
tongue. discriminate
different tastes.
between the
various flavors.

CN VIII: I asked the patient to The patient should It was audible in Intact
Vestibulocochlear close one ear while I be able to hear the both of his ears.
spoke into the other to whisper in both He was also able to
assess his hearing ears and maintain keep and maintain
ability. I asked the a steady breathing his job. He can
patient to go back and
pattern. As they also maintain his
forth so I could examine
walk, they equilibrium and
his gait and see how he
walked. maintain a steady walk on his own
pace and maintain two feet.
their equilibrium.
 CN IX: To examine the soft The patient should The patient has had intact
Glossopharyngeal palate's upward be able to no problem
mobility, as well as swallow without eliciting a gag
their capacity to difficulty and reaction and
swallow and trigger a should have a gag swallowing
gag reaction, patients response. normally.
should be encouraged to
say "ah" and then yawn.

The patient was The patient should The patient was Intact
instructed to swallow be able to speak able to
saliva or drink water effectively and communicate
and speak. (Notice the swallow his or her clearly and
CN X: hoarseness) food without swallow food
Vagus
difficulty. There without difficulty.
was no evidence There was no
of hoarseness. evidence of
hysteria.
Client is instructed to The patient should The patient was Intact
shrug shoulders upward be able to swivel able to shrug his
against the resistance of his head to the shoulders and turn
your palms and to side and shrug his his head from one
swivel head from side to shoulders. side to the other,
side against my Movement from and movement was
CN XI: Spinal
resistance. side to side should asymmetrical with
Accessory
be asymetrical the patient moving
and with the from one side to
patient moving. the other. without
against resistance suffering in the
without pain. face of opposition
 "You can't teach an old The patient's The patient was Intact
dog new tricks," I'll tell tongue should be able to move his
the patient. able to move tongue to different
"Tricks," she says, freely and without directions without
noting the existence of difficulty. has the any difficulty and
slurring and requesting
CN XII: ability to remark able to say phrase
that she be allowed to
Hypoglossal "You can't teach “You can’t teach an
protrude.
Using your tongue, an old dog new old dog new
move it from side to tricks" new tricks.”
side. gimmicks"