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Mental Status exam - Coggle Diagram
Mental Status exam
Attitude
Cooperative,
hostile,
open,
secretive,
evasive,
suspicious,
apathetic,
easily distracted,
LOC
Vigilant,
alert,
drowsy
lethargic,
stuporous,
comatose,
fluctuating.
confused,
Behavior
Mannerisms,
gestures,
psychomotor activity,
expression,
eye contact,
ability to follow commands/requests,
Orientation
“What is your full name?”
“Where are we at (floor, building, city, county, and state)?”
“What is the full date today (date, month, year, day of the week, and season of the year)?”
why you here
person , place , time
Appearance
Gait,
posture,
clothes,
grooming.
Speech & Language
Quantity
Talkative, spontaneous, expansive, paucity, poverty.
Rate
Fast, slow, normal, pressured.
Volume
Loud, soft, monotone, weak, strong.
Fluency and Rhythm
Slurred, clear, with appropriately placed inflections, hesitant, with good articulation, aphasic.
Thought Content
“What do you think about when you are sad/angry?”
“What’s been on your mind lately?”
“Do you find yourself ruminating about things?”
“Are there thoughts or images that you have a really difficult time getting out of your head?”
Suicidality/ homicidal
“Do you ever feel that life isn’t worth living? Or that you would just as soon be dead?”
• “Do you think about hurting others or getting even with people who have wronged you?”
“Have you had desires to hurt others? If so, how?”
Thought Process
logic,
relevance,
Linear, goal-directed, circumstantial, tangential, loose associations, incoherent, evasive, racing, blocking,
perseveration, neologisms.
Memory
Recent Memory
Remote Memory
Immediate Memory
Affect
An observed expression of inner feeling.
Intensity: Blunted, flat, normal intensity.
Quality: Sad, angry, hostile, indifferent, euthymic, dysphoric, detached, elated, euphoric, anxious, animated,
irritable.
Intensity: Blunted, flat, normal intensity.
Appropriateness to situation, consistency with mood, congruency with thought content.
Mood
(Inquired): A sustained state of inner feeling
“Have you been energized/elated/high/out of control lately?”
“How are you feeling?”
“Have you been angry/irritable/edgy lately?”
Insight & Judgement
Attention
Intellectual