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Mental status testing

Definition

Mental status testing is done to check a person's thinking ability, and to determine if any problems are getting better or worse. It is also called neurocognitive testing.

Alternative Names

Mental status exam; Neurocognitive testing

How the Test is Performed

A nurse, doctor, physician assistant, or mental health worker will ask a number of questions. The test can be done in the home, in an office, nursing home, or hospital. Sometimes, a psychologist with special training will do more detailed tests.

The most common test used is called the mini-mental state examination (MMSE) or Folstein test.

The following may be tested:

APPEARANCE

The health care provider will check your physical appearance, including:

ORIENTATION

The health care provider will ask questions such as:

ATTENTION SPAN

Attention span may be tested earlier, because this fundamental skill can influence the rest of the tests.

The provider will check:

You may be asked to do the following:

RECENT AND PAST MEMORY

The provider will ask questions related to recent people, places, and events in your life or in the world.

You may be shown three items and asked to say what they are, and then recall them after 5 minutes.

The provider will ask about your childhood, school, or events that occurred earlier in life.

LANGUAGE FUNCTION

The provider will point to everyday items in the room and ask you to name them, and possibly to name less common items.

You may be asked to say as many words as possible that start with a certain letter, or that are in a certain category, in 1 minute.

You may be asked to read or write a sentence.

JUDGMENT

This part of the test looks at your ability to solve a problem or situation. You may be asked:

Some tests that screen for language problems using reading or writing do not account for people who do not read or write. If you know that the person being tested cannot read or write, tell the health care provider before the test.

If your child is having the test, it is important to help him or her understand the reason for the test.

Normal Results

The MMSE test is scored from 0 to 30. The test is also divided into sections, each with its own score. These results help show which part of someone's thinking and memory may be affected.

What Abnormal Results Mean

A number of health conditions can affect your mental status. The health care provider will discuss these with you.

References

Koita J, Riggio S, Jagoda A. The mental status examination in emergency practice. Emerg Med Clin N Am. 2010;28:439-451.

Snyderman D, Rovner B. Mental status exam in primary care: a review. Am Fam Physician. 2009;80:809-814.



Review Date: 2/10/2014
Reviewed By: Christos Ballas, MD, pivate practice specializing in Psychiatrist, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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