Professional Documents
Culture Documents
Mental
State
Examination
By:- firoz qureshi
Dept.
psychiatric
nursing
Introduce yourself
Explain the purpose and approx how long
it will take
Start with open questions
Never hurry a patient – try to be empathic
and listen
You might need an informant ( ask
patients permission )
SOCIO DEMOGRAPHIC DETAIL
Name
Age
DOB
Address
Occupation
Marital status
PRESENTING COMPLAINTS
***
MENTAL STATE
EXAMINATION
APPEARANCE, ATTITUDE AND BEHAVIOUR1
Describe appearance:
Body habitus; prominent physical
characteristics: tattoos, scars, needle
sites; grooming and attire
Level of consciousness, apparent age,
position and posture, eye contact, facial
expressions,rapport
APPEARANCE, ATTITUDE AND BEHAVIOUR2
Describe attitude:
Degree and type of co-cooperativeness,
resistance
Describe activity:
Voluntary movements and their intensity,
involuntary movements
Automatic movements, Tics, mannerisms,
compulsions
SPEECH AND LANGUAGE
Assess for:
Fluency of speech (rate and volume)
Repetition
Content of speech
MOOD AND AFFECT
Describe predominant mood in patients
own words
Associated biological symptoms and
suicidality or homicidality
Describe affect and reactivity
THOUGHT
DESCRIBE FORM OF THOUGHT:
ABNORMAL BELIEFS:
Describe any delusions, thought
interference, reference or persecution,
control or passivity phenomenon, nihilistic
or grandiose ideas/ delusions
PERCEPTUAL ABNORMALITIES
Illusions
Hallucinations- sensory experience in
the absence of a stimulus-various types
( auditory, visual, gustatory, tactile).
COGNITION
USUALLY MMSE WOULD DO