Mental status exam example pdf
[DOC File]Data Assessment Plan (DAP) Note
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CLEAR Wrap Up! session. Data Assessment Plan (DAP) Note. CLIENT/ID: Date: Counselor’s Initials: A DAP note is to be filled out each time you meet with a client for a CLEAR session.
[DOC File]The Mental Status Examination - Brown University
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An example of a commonly used one is the Folstein Mini-Mental Status exam, and this is shown below. Insight And Judgment. Insight and Judgment refer to complex tasks that require a good deal of cognitive functioning (including conceptual thinking and abstract ability), though intact cognitive functioning alone is not adequate for good judgment ...
[DOC File]Completing the Biopsychosocial Assessment
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Best practice is to complete a release of information where the service(s) were completed and request appropriate medical, mental health, or other documentation. Indicate the client’s current health status by their own report and below enter the date of the last physical …
[DOC File]Jane Doe - PCCC
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EXAMPLE---MENTAL STATUS EXAM NARRATIVE. Mr. Jones is a 35 year old male who appears older than his stated age. He is separated from his spouse. His dress was disheveled with dirty t-shirt, ripped jeans; and shoes with holes in them. His grooming and hygiene were inadequate. He …
BIOPSYCHOSOCIAL ASSESSMENT
Mental Status Exam. Category Selections GENERAL OBSERVATIONS Appearance Well groomed Unkempt Disheveled Malodorous Build Average Thin Overweight Obese Demeanor Cooperative Hostile Guarded Withdrawn Preoccupied Demanding Seductive Eye Contact Average Decreased Increased Activity Average Decreased Increased Speech Clear Slurred Rapid Slow ...
[DOC File]MMSE - Standardised Mini Mental Status Examination
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MMSE - Standardised Mini Mental Status Examination Author: nillo surgery Last modified by: fg Created Date: 7/1/2008 4:34:00 AM Company: JC Goswell Pty Ltd Other titles: MMSE - Standardised Mini Mental Status Examination
[DOCX File]Department of Emergency Medicine | University of Washington
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No signs of trauma or other etiol ogy of altered mental status on initial exam. Patient was monitored with serial exams for several hours while they cleared their alcohol and altered mental status. Repeat exam benign. Patient then demonstrated ability to ambulate safely, …
[DOCX File]Brief Mental Status Exam (MSE) Form - UCare
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Appearance. Casual dress, normal grooming & hygiene. Other (describe) Attitude. Calm & cooperative. Other (describe) Behavior
[DOC File]Mental Status Exam Student Name:
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Mental Status Exam and Psychiatric Nursing Care Plan Student. Name: Patient’s initials: Date of Admission: Date of Assessment: Click on the gray box to type. Put an “x” in all that apply. Tab between boxes. Identifying. Data: Gender: Male Female . Age: Unit: Legal Status: Allergies Reason for Admission: General. Appearance
“CHEAT” SHEETS FOR MENTAL HEALTH WORKERS
Avoids mental effort. Fidgety. Easily distracted. Appears to forget. Loses things. Talks excessively. DEMENTIA. Sx’s Memory; Mini Mental Status Exam. Checkbook ( see DSM-IV-TR, page 142) Drugs Aricept & Namenda. PERSONALITY DISORDERS. 5 Treatments - Psychopharmacology. Psychotherapy. Exercise. Diet. Spirituality. Don’t forget collaterals
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