CLINIBORG
About
Categories
Privacy Policy
Terms
Mental Status Examination
Dec 21, 2024
•
Mark Morgan
categories:
mental health
exam
This is a mental status examination template.
Mental Status Examination:
General:
alert and oriented in all spheres
obtunded
disoriented
.
Appearance:
well kempt
poorly kempt
appropriately dressed
inappropriately dressed
appropriately groomed
inappropriately groomed
.
Behavior - general:
in no acute distress
in acute psychological distress
.
Behavior - stability:
calm
agitated
.
Behavior - interactivity:
warm with comments and behavior
interactive
withdrawn
.
Behavior - eye contact:
eye contact good
eye contact fair
eye contact avoidant
.
Mood/Affect - stated:
normal
upbeat
euthymic
depressed
.
Mood/Affect - emotional range:
normal
broad
restricted
.
Mood/Affect - intensity:
normal
expansive
blunted
flat
.
Mood/Affect - congruence:
mood is congruent with affect
mood and affect are not congruent
.
Thought form and content:
normal
future oriented
logical, linear and goal-oriented
past oriented and somber
goal directed
scattered
hopeful
remorseful
enthusiastic
resigned
Attention:
no difficulty with attention or concentration
had some attentional and concentration problems during the exam
.
Perception - insight:
normal insight
poor insight
Perception - general:
normal
normal
Cognition/Memory:
normal
grossly intact
below average
above average
.
Cognition/Memory - abstraction:
normal ability to abstract
difficulty with abstract thought
inability for abstract thought
Judgment:
normal
poor
good
.
Suicide/Assault:
no current or past ideation or intent
denies an active sense of wanting to harm self or others
present but without intent or plan
resolved
.
Patient is currently assessed to be at
low
moderate
high
risk for self harm or harm to others as evidenced by ideation and behavior on today's exam.
Calculate The Result!
Reset Form
Result - Copy and paste this output:
Copy to Clipboard
Please enable JavaScript to view the
comments powered by Disqus.