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GENERAL MENTAL STATUS EXAMINATION
I. General Appearance
A. Grooming and Hygiene
B. Race, gender, age, apparent age (if appropriate)
C. Level of apparent distress
D. Presence of psychomotor abnormalities.
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How to fill out general mental status examination

How to fill out general mental status examination
01
Start by introducing yourself to the patient and explaining the purpose of the examination.
02
Begin with gathering demographic information such as the patient's name, age, and occupation.
03
Observe the patient's appearance and behavior, noting any abnormalities.
04
Conduct a systematic assessment of the patient's orientation to person, place, and time.
05
Evaluate the patient's attention span and ability to concentrate by asking them to perform simple tasks or calculations.
06
Assess the patient's memory by asking them to recall recent events or by providing them with three unrelated words to remember.
07
Evaluate the patient's language abilities by asking them to name objects, repeat a phrase, or follow complex instructions.
08
Assess the patient's cognitive functions by asking them to perform tasks such as serial sevens or spelling a word backward.
09
Evaluate the patient's mood and affect by observing their emotional state and expression.
10
Document any abnormal findings and conclude the examination by providing a summary of your observations.
Who needs general mental status examination?
01
Individuals suspected of having cognitive or psychiatric disorders.
02
Patients with a history of substance abuse or dependence.
03
Individuals with a traumatic brain injury or neurological condition.
04
Those experiencing significant changes in cognitive functioning or behavior.
05
Older adults with memory loss or cognitive decline.
06
Patients presenting with acute changes in mental status.
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What is general mental status examination?
General mental status examination is a systematic assessment of an individual's cognitive functions, behavior, and overall mental health.
Who is required to file general mental status examination?
Healthcare professionals such as psychiatrists, psychologists, and social workers are typically required to conduct and file general mental status examinations.
How to fill out general mental status examination?
General mental status examination is usually filled out by conducting interviews, observing the individual's behavior, and using standardized assessment tools.
What is the purpose of general mental status examination?
The purpose of general mental status examination is to evaluate an individual's current mental health status, diagnose mental health disorders, and develop appropriate treatment plans.
What information must be reported on general mental status examination?
Information reported on general mental status examination may include the individual's appearance, mood, thought process, memory, orientation, and judgment.
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