OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Pampanga

PROGRAM Bachelor of Science in Nursing STUDENT NAME

YEAR & SECTION

NCMA 317 RLE
Care of Clients with Maladaptive Behavior
COURSE INSTRUCTOR
(Acute and Chronic)
SKILLS LABORATORY
DATE

PROCEDURE : ADMINISTERING MENTAL STATUS EXAMINATION

EXPECTED OUTCOME : The student should be able to administer Mental Status Examination correctly
ASSESSMENT TASK : Return Demonstration

Exceptional Good Average Poor

Assessment Dimension SCORE
(4) (3) (2) (1)
1.Verify the written order for the Verified the doctor’s Verified the doctor’s Verified the doctor’s Failed to verify the
procedure order properly and order with minimal order improperly doctor’s order.
accurately. error. and inaccurately.

Greeted and identified Greeted and Greeted and Failed to greet and
patient by asking performed the two performed one (1) identify patient.
2. Greet and identify the patient. his/her name and (2) ways of way of identifying
checking his/her ID identifying patient. patient.
band politely.
Explained procedure to Explained Explained Failed to explain
the client clearly and procedure but lacks procedure but in an procedure.
3. Explain the procedure to the patient completely with client’s details. unclear manner.
and significant others. and significant other’s
approval
Student did an excellent Student did a good Student did a fair Student did not
job of addressing the job of addressing job of addressing adequately address
main components of a the main the main the main
4. Attention to components of a MSE
mental status components of a components of a components of a
examination. mental status mental status mental status
examination. examination. examination.
Student did an excellent Student did a good Student did a fair Student did a poor
job of incorporating job of incorporating job of incorporating job of incorporating
5. Use of clinical terminology. appropriate clinical appropriate clinical appropriate clinical appropriate clinical
terminology in the body terminology in the terminology in the terminology in the
of the MSE. body of the MSE. body of the MSE. body of the MSE.
The overall presentation The overall The overall The overall
of the MSE is presentation of the presentation of the presentation of the
considered excellent-- MSE is considered MSE is considered MSE is considered
i.e., it included no good-- i.e., it was fair-- i.e., it was poor-- i.e., it was
grammatical errors, had not too brief, somewhat brief, too brief, included
6. Overall presentation of MSE.
excellent sentence included minimal or included some grammatical errors,
structure, etc. no grammatical grammatical errors, poor sentence
errors, had good fair sentence structure, etc.
sentence structure, structure, etc.
etc.
OVERALL SCORE: ______________

Target Raw Score: 18 out of 24. If raw score is less than 18, repeat the return demonstration.

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FACULTY SIGNATURE OVER PRINTED NAME