Components of the Mental Status Examination https://www.aafp.org/afp/2024/0100/mental-status-examination.pdf Standardized Mini-Mental State Examination The Mini-Mental State Examination (MMSE) was created by Marshal Folstein et al. in 1975 as an instrument for brief (5–10 min) assessment of mental status in hospitalized patients. It is considered the most widely used test for standardized cognitive assessment in the clinical setting, especially with the elderly population. 1. Allow ten seconds for each reply. What year is this? What season is this? What month is this? What day of the week is this? What is today's date? 2. What country are we in? What state are we in? What city/town are we in? What room are we in? What is the street address of this house? 3. Say: Ball Car Man 4. Say: Spell the word World 5. Say: Now what were the three objects I asked you to remember? 6. Show wristwatch: Ask: What is this called? 7. Time: 10 seconds Show pencil. Ask: What is this called? (score one point for correct response; accept ”pencil” only; score 0 for pen) 8. Time: 10 seconds Say: I would like you to repeat a phrase after me: No ifs, ands or buts Score one point for a correct repetition. Must be exact, e.g. no ifs or buts, score 0). 9. Time: 10 seconds Say: Read the words on this page and then do what it says. Then, hand the person the sheet with CLOSE YOUR EYES on it. If the subject just reads and does not close eyes, you may repeat: Read the words on this page and then do what it says, (a maximum of three times. Score one point only if the subject closes eyes. The subject does not have to read aloud. 10. Time: 30 seconds Hand the person a pencil and paper (Page 3). Say: Write any complete sentence on that piece of paper. Score one point. The sentence must make sense. Ignore spelling errors. 11. Time: 1 minute maximum Place design, eraser and pencil in front of the person. Say: Copy this design please. Allow multiple tries. Wait until the person is finished and hands it back. Score one point for a correctly copied diagram. The person must have drawn a four-sided figure between two five-sided figures. 12. Time: 30 seconds Ask the person if he is right or left handed. Take a piece of paper, hold it up in front of the person and say: Take this paper in your right/left hand (whichever is non-dominant), fold the paper in half once with both hands and put the paper down on the floor. Score one point for each instruction executed correctly.