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Mental Status Exam

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MENTAL STATUS EXAM
Student_________________________ Client Initials_____ Date_________
1. General appearance: motor activity, interaction during interview, grooming and dress, facial
expression, level of consciousness.
2. Emotional state (mood and affect): If potential for suicide, suicidal or homicidal thoughts? If so,
assess further.
3. Thought content and perceptions (delusions, illusions, hallucinations, depersonalization, obsessions or
compulsions, phobias, fantasies, daydreams, etc.).
4. Flow of thought and speech.
5. Sensorium and cognition:
a. Orientation
b. Memory (remote, recent, immediate)
c. Intellectual Functioning
1) Concentration and calculation
2) General information and intelligence
3) Abstract thinking
4) Judgement
6. Insight
Impressions: Nursing diagnoses (prioritized):
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Completed 12 March 2020

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