The Mini Mental State Examination (Mmse) - Mount Sinai Hospital Page 2
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1
2The Mini-Mental State Exam
Patient___________________________________ Examiner ____________________________ Date ____________
Maximum
Score
Orientation
5
( )
What is the (year) (season) (date) (day) (month)?
5
( )
Where are we (state) (country) (town) (hospital) (floor)?
Registration
3
( )
Name 3 objects: 1 second to say each. Then ask the patient
all 3 after you have said them. Give 1 point for each correct answer.
Then repeat them until he/she learns all 3. Count trials and record.
Trials ___________
Attention and Calculation
5
( )
Serial 7’s. 1 point for each correct answer. Stop after 5 answers.
Alternatively spell “world” backward.
Recall
3
( )
Ask for the 3 objects repeated above. Give 1 point for each correct answer.
Language
2
( )
Name a pencil and watch.
1
( )
Repeat the following “No ifs, ands, or buts”
3
( )
Follow a 3-stage command:
“Take a paper in your hand, fold it in half, and put it on the floor.”
1
( )
Read and obey the following: CLOSE YOUR EYES
1
( )
Write a sentence.
1
( )
Copy the design shown.
_____
Total Score
ASSESS level of consciousness along a continuum ____________
Alert Drowsy Stupor Coma
"MINI-MENTAL STATE." A PRACTICAL METHOD FOR GRADING THE COGNITIVE STATE OF PATIENTS FOR THE CLINICIAN.
Journal of Psychiatric Research, 12(3): 189-198, 1975. Used by permission.
A series provided by
The Hartford Institute for Geriatric Nursing
(hartford.ign@nyu.edu)
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