CLASS OF 2018: SULONG LABING WALO! WALANG PATATALO!

PSYCHIATRY III (MENTAL STATUS EXAMINATION)

THIS IS BASED ON DEMYERS AND KAPLAN

I. GENERAL BEHAVIOR AND APPEARANCE

BEHAVIOR AND MOTOR ACTIVITY [ ] Normal
[ ] Hyperactive
Motor activity can be best described as normal, [ ] Agitated
slowed (bradykinesia), or agitated [ ] Quiet
(hyperkinesia). Other descriptions can be [ ] Immobile
jitteriness, tremor, apparent restlessness, lip-
smacking, and tongue protrusions.
Other descriptions:

APPEARANCE [ ] Neat
[ ] Slovenly

Other descriptions:

BODY BUILD Frame: [ ] Small

[ ] Medium
[ ] Large
CLOTHING According to: [ ] Gender
[ ] Age
[ ] Background
Notes:

COORDINATION AND GAIT [ ] No difficulties

[ ] Some anxiousness and restlessness
[ ] Some clumsiness
[ ] Using cane
[ ] Staggered
[ ] Shuffling

KAGAWAD G.R.O.
CLASS OF 2018: SULONG LABING WALO! WALANG PATATALO!

ATTITUDE [ ]Cooperative
[ ] Friendly
[ ] Attentive
[ ] Interested
[ ] Aloof
[ ] Shy

Notes:

II. STREAM OF TALK

SPEECH [ ] Normal
[ ] Rapid
Include fluency, amount, rate, tone, and [ ] Incessant
volume. FLUENCY can refer to whether the [ ] Under great pressure
patient has full command of the English [ ] Slow
language as well as potentially more subtle
[ ] Lacking in spontaneity
fluency issues such as stuttering, word finding
difficulties, or paraphasic errors. AMOUNT of [ ] Lacking in prosody
speech refers to whether it is normal, increased, [ ] Discursive
or decreased. Descriptive terms for TONE [ ] Tangential
AND VOLUME include irritable anxious, [ ] Unable to reach the conversational
dysphoric, loud, quiet, timid, angry, or goal
childlike. [ ] Mumbling
[ ] Whispering

Notes:

III. MOOD AND AFFECTIVE RESPONSES

OVERALL MOOD [ ] Appropriate
[ ] Inappropriate
Questions: Ask the patient about her perception
to his disease, Ask him to tell a funny story/ Notes:
Sad story

MOOD is defined as the patient’s internal and

KAGAWAD G.R.O.
CLASS OF 2018: SULONG LABING WALO! WALANG PATATALO!

sustained emotional state. Its experience is

SUBJECTIVE

RANGE [ ] Full range

[ ] Blunted
[ ] Completely absent

AFFECTIVE RESPONSES [ ] Appropriately normal

[ ] Euphoric
AFFECT is the expression of mood or what [ ] Agitated
the patient’s mood appears to be to the [ ] Giggling
clinician. [ ] Silent
[ ] Weeping
[ ] Angry
[ ] Others, specify:
________________
________________
________________

IV. THOUGHT PROCESSES

CONTENT FORM
[ ] Illusions [ ] Blocking
[ ] Hallucinations [ ] Circumstantialities
[ ] Delusions [ ] Clang associations
[ ] Suicidal/Homicidal ideations [ ] Echolalia
[ ]Obsessions/Compulsions [ ] Flight of ideas
[ ] Phobias [ ] Loose associations
[ ] Idea of references [ ] Mutisms
[ ] Depersonalization/Feeling of [ ] Neologisms
unreality [ ] Tangentialities
[ ] Preoccupied of bodily complaints [ ] Others, specify:
[ ] Others, specify:

V. INTELLECTUAL CAPACITY
CHARACTERISTICS [ ] Bright [ ] Demented
[ ] Average [ ] Mentally retarded
[ ] Dull

KAGAWAD G.R.O.
CLASS OF 2018: SULONG LABING WALO! WALANG PATATALO!

VI. SENSORIUM
A. CONSCIOUSNESS
Awareness of self and environment Environment [ ] Yes [ ] No
Verbal stimuli [ ] Yes [ ] No
Possible Questions: What is your name?” “How Pain [ ] Yes [ ] No
old are you?” “When is your birthday?” “What is
your address?” “What kind of work do you do?”

B. ATTENTION SPAN
Attend to stimuli long enough to [ ] Yes [ ] No
comprehend and respond to it, or attend to a task
and complete it

Test to be done: Spell Months backwards/World

backwards

C. ORIENTATION
Person Recognize: [ ] Self (Ask his name)
[ ] Role (Job)
As to person: Does the Pt recognize him- or [ ] Other people
herself and his or her role, the other people
present, and their roles?
Recognize: [ ] Location
Place
[ ] Name of city or state
As to place: Does the Pt recognize that he or she
is in a clinic or hospital, its name, and the name of
the city and state?

Time Recite: [ ] Time of the day

As to time: Can the Pt recite the time of day, day [ ] Day of the week
of the week, the month, and the year? [ ] Month
[ ] Year
[ ] Season/Whether

D. MEMORY
Recent: [ ] Yes [ ] No
How to Test:
Remote: [ ] Yes [ ] No
a. Note how well the Pt recalls and relates the
events of the medical history.
b. Inquire, “Does your memory work all right?”
Or more bluntly, “Do you have trouble with your
memory?” If you suspect a memory disturbance,
say to the Pt, “Suppose we try out your memory?”
Ask the Pt to name the presidents backward from

KAGAWAD G.R.O.
CLASS OF 2018: SULONG LABING WALO! WALANG PATATALO!

the present one. Although also requiring a long

attention span, this task requires more attention
and memory than reciting the months backward.
c. Next provide the Pt with an address, a color,
and an object to remember, three nonsense items
that have no special relation: ex: 5330 Broadway,
orange, and table. Have the Pt repeat the items to
ensure that they have registered. Then, at the end
of the NE, ask the Pt to recite them.
d. Determine whether the Pt differs in the ability
to recall recent or remote events. Can the Pt
remember what he or she ate for breakfast?
Recent memory suffers most in aging or
braindiseases in general.

Remote (“Do you have spouse/children?” “What

are their names/ ages/ occupations/ addresses?”
“Where are they now?”)

Recent (breakfast eaten, 3 words after 5 minutes,

3 unrelated objects)

E. FUND OF INFORMATION
[ ] Yes [ ] No
The oriented, attentive Pt with a good
memory knows what’s happening in the world.

Ask the following: Ask about current activities or

events. If unable to discuss current activities and
events, the Pt has organic brain disease, cultural
deprivation, or is so withdrawn as to need
psychiatric care.

F. CALCULATIONS
[ ] Able [ ] Not able
Do the following: Subtract 7 from 100, then take
off seven more and continue subtracting 7’s (93,
86, 79, 72, 65)

Other options: Balance a checkbook, Make

change (money), Paper-and-pencil calculations
G. INSIGHT Questions:
Do you think do you have a problem?
Refers to the patient’s understanding of
How he or she is feeling, presenting, and
functioning as well as the potential causes of his Do you need treatment?
or her psychiatric presentation.

KAGAWAD G.R.O.
CLASS OF 2018: SULONG LABING WALO! WALANG PATATALO!

What are your plans for the future?

H. JUDGEMENT Question:
What would you do if you found a stamped
It is better to use real situations from the patient’s envelope on the sidewalk?”
own experience to test judgment.

KAGAWAD G.R.O.