Bsc h nursing 3rd yr psychiatric nursing

1. MENTAL HEALTH NURSING
MMSE
Submitted to : Prerna ma’am
Presented by:
Tutor college of nursing Rashi Nirwan
06350306619
BSC (H) NSG.4TH
VMMC and sjh.

2. INTRODUCTION
The Mini-Mental State Examination (MMSE) or Folstein test is a 30-point
questionnaire that is used extensively in clinical and research settings to
measure cognitive impairment.
Itwas developed by Dr. Marshall Folstein in the year of 1975
The Mini-Mental State Exam (MMSE) is a widely used test of cognitive function
among the elderly: it includes tests of orientation, attention, memory, language
and visual-spatial skills.
The mini-mental state examination is proprietary and takes about 10-15
minutes to administer.

3. DEFINITION
The Mini-Mental status Examination is a
cognitive test to screen for the presence of
cognitive impairment example Dementia

4. Purpose of MMSE
It is useful in helping differentiate between
a variety of systemic conditions, as well as
neurologic and psychiatric disorders ranging
from delirium and dementia to bipolar
disorder and schizophrenia.

5. COMPONENTS OF MMSE
● Orientation
● Registration
● Attention Calculation
● Recall
● Language

6. ORIENTATION
● Which year is this?
● . Where are we now?
● Which State we live in?
● What is the name of this County ?
● What Season it is?
● What is today's date?
● What is the Day of the week?
● Which Month is this?
● What is the name of this city?
● • What Floor are we on?

8. REGISTRATION
● objects clearly and slowly, then the instructor asks the patient to
name all three of them.
● The patient's response is used for scoring.
● The examiner repeats them until patient learns all of them, if
possible. [Example
● Examiner names 3 objects (eg apple, table, car) Patient asked to
repeat (1 point for each correct)].
● Maximum score is 3

10. ATTENTION AND CONCENTRATION
● "I would like you to count backward
● Subtract 7 from 100, then repeat from result.
● Continue 5 times: 100 93 86 79 65
● Alternative: "Spell WORLD backwards." (D-L-R-O-W)
● Maximum score is 5

12. RECALL
● Earlier I told you the names of three things.
● Can you tell me what those were?"
Maximum score is 3.

14. LANGUAGE
● Naming: Show the patient two simple objects, such as wristwatch and a pencil, and
ask the patient to name them. 1 point for each
● Maximum score is 2
● Repetition: Ask the person to repeat the following. No ifs" & or buts" (1point).
Allow only one trial
● Maximum score is 1
● Command: Give a 3 stage command. Score 1 for each stage. Eg. "Place index finger
of right hand on your nose and then on your left ear"
● . Maximum score is 3

18. SCORING AND INTERPRETATION
● The Mini-mental state examination is scored on a scale of 0-30 with scores >
25 interpreted as normal cognitive status. •
● Severe cognitive impairment: 59
● Moderate cognitive impairment 10-18
● Mild cognitive impairment: 19-23
● No cognitive impairment: 24-30
● Interpretation of the mental status examination must take into account the
patient's native language, education level, and culture as these factors can
affect performance!

19. ADVANTAGES OF MMSE
● >Relatively quick and easy to perform
● Requires no additional equipment
● Can provide a method of monitoring
deterioration over time

20. DISADVANTAGES OF MMSE
● Biased against people with poor education due to elements of
language and mathematical testing
● - Bias against visually impaired -
● Limited examination of visuospatial
● cognitive ability
● Poor sensitivity at detected mild/early dementia

21. ● Copyrighted and should the most up to date version should
officially only be accessed via the Psychological Assessment
Resourcing (PAR)
● -Patients new to a region may not geographic orientation
aspect of
● the test - False positives can lead to anxiety labelling and
stigma

22. FORMAT OF
MMSE