Home Contact Inquiries Site Map
UTMB Links
Services
Program
About us
Galveston
Courses
UTMB
APA Accred
APPIC
Blackboard
 

InPatient Eval
NMSE
GDS
GAS
MAST
GCS

 
NMSE



Date Administered:      

Diagnosis:  Pt Initials:
Pt Room:
Date:       Age: 
Hospital Record Number:  Sex: 
1. Verbal Fluency: (Name as many animals in 60 seconds as possible)
Animals per 60 seconds Total Animals:
2. Comprehension: Check if Correct:
a. Point to the ceiling.
b. Point to your nose and window.
c. Point to your foot, door, and ceiling.
d. Point to window, leg, door, and thumb.
3. NAMING AND WORD FINDING: Parts of Objects
Watch Stem
Coat lapel
Watch crystal
Sole of shoe
Buckle of Belt
4. ORIENTATION:
a. Date
b. Month
c. Year
d. Day of Week
5. NEW LEARNING ABILITY (four unrelated words). State the first column of words, patient repeats them, 5 minutes later they get 2 points for each word and then 10 minutes later the get another 2 points for each one recalled. Use the other column if someone else gave them the test earlier. After 5 Minutes After 10 Minutes
a. Brown (Fun) (Grape)
b. Honesty (Loyalty) (Happiness)
c. Tulip (Carrot) (Stocking)
d. Eyedropper (Ankle) (Toothbrush)
6. VERBAL STORY FOR IMMEDIATE RECALL
It was July / and the Rogers / had packed up / their four children / in the station wagon / and were off / on vacation. 

They were taking / their yearly trip / to the beach / at Gulf Shores.

This year / they were making / a special / one-day stop / at The Aquarium / in New Orleans.

After a long day's drive / they arrived / at the motel / only to discover / that in their excitement / they had left / the twins / and their suitcases / in the front yard.

Number of Correct Memories (1 point for each section up to 13):  
7. VISUAL MEMORY (HIDE FIVE OBJECTS and Then the Patient tells you what is where)
Object Found
a. Coin
b. Pen
c. Comb
d. Key
e. Fork
8. PAIRED ASSOCIATE LEARNING (Read Column #1, Read the first word in Column #2, patient must tell you the second word.)
Set #1 Set #2
a. Weather--Box a. House--Income
b. High--Low b. Weather--Box
c. House--Income c. Book--Page
d. Book--Page d. High--Low
9. CONSTRUCTIONAL ABILITY (Show the patient the picture and let them copy it as they look at it for 3 points if a good representation.  3 points each for constructing the flower in a pot and a house in perspective.


Score: 

Daisy in flower pot

 

Score:

House in Perspective

 

Score:

10. WRITTEN COMPLEX CALCULATIONS (Have pt do the calculations on paper)
a. Addition

108
+79


b. Subtraction

605
-86


c. Multiplication

108
x36


d. Division

559/43

 

 

Number Correct: 4/4     3/4     2/4     1/4    0/4    
11. PROVERB INTERPRETATION Score
a. Don't cry over spilled milk.

 

b. Rome wasn't built in a day.

 

c. A golden hammer can break down an iron door.

 

d. The hot coal burns, the cold one blackens.

 

12. SIMILIATRIES Score
a. Turnip.............................Cauliflower
b. Car................................Airplane
c. Desk...............................Bookcase
d. Poem..............................Novel
e. Horse..............................Apple

SCORING

Maximum Score
Verbal fluency--animal names
(1 point/2 animals)
10 points  
Verbal comprehension (pointing) 4 points  
Naming--parts of objects 5 points  
Orientation Date 2 points  
Orientation Day 2 points  
Orientation Month 1 point  
Orientation Year 1 point  
Unrelated Words (2 Points Each 5 Minutes) 16 points  
Unrelated Words (2 Points Each 10 Minutes)
Story (1 point = 1 remembered item) 13 points  
Hidden Objects (1 point each) 5 points  
Paired Associate Learning 8 points  
Drawings
   Pipe, daisy, house
9 points  
Calculations (written) 4 points  
Proverbs 10 points  
Similarities 10 points  

Total Scores on Mental Status Exam for Dementia 

Individuals Falling within Normal Scores

Age Group

Mean Score (standard deviation)          
40-59 80.9 (9.7)
50-59 82.3 (8.6)
60-69 75.5 (9.1)
70-79 66.9 (9.1)
80-89 67.9 (11.0)
Patients with Alzheimer's Disease
Stage Mean Score (standard deviation)
I 57.2 (9.1)
II 37.0 (7.8)
III 13.4 (8.1)

 
 
Back Home Up Next
 

Copyright 2004 UTMB Galveston, Texas. All rights reserved