Mental State Quiz for a 59 Years Old

The Mini mental state Table 9.3 Quiz from Folstein, M. was used to a 59 years old Hispanic female (neighbor) at around 6 pm when she was constantly disrupted with cell phone during the test.

Here are the following scores:
10 out of 10 for orientation
3 out of 3 for registration
5 out of 5 for attention and calculation
3 out of 3 for recall
6 out of 9 for language

During this process, the subject was busy working on her home business website. She was at first apprehensive but very participative all the way at the end of the quiz. I was at first doubting if the subject will wonder and ask: “What is the point of this quiz?” or “Are this trick questions?” and so I just told the subject that it was for a school project. With the simplicity of the question, I also thought she would get a perfect score.

If this test was conducted during her time of busyness or later time of the day, the score would have a lower score. Her level of alertness, attention and cooperation was at peak. Her memory, language, calculation and orientation were strong and flexible.

Later today, I have tried the other test on Table 9.4 with my spouse right after dinner. She scored perfect except for the attention and calculation of 100 and count backwards by 7. The first few questions were thought to be so simple until she came to be challenged in this part. She has her divided attention of reading an email while doing this test.

These Mental State test are simple and maybe effective in determining how focus the respondents are.

References:
Butler, R. N., Lewis, M. I, & Sunderland, T. (1998). Aging and mental health: Positive psychosocial and biomedical approaches. Austin, TX: Pro-Ed International Publisher.

Comments

  1. Subject: Re:Week 6: Mini Mental State Quiz Topic: u06d3 Mental Status Exam
    Author: Sharon Quick Date: November 16, 2008 12:33 AM


    Hi Tony:

    It seems as though she was really distracted but overall did okay. She will need to learn how to focus more on task than to allow other things to distract her. How did the test come out with your spouse? How did you feel knowing that she was distracted like this.

    Sharon Quick

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  2. Subject: Re:Week 6: Mini Mental State Quiz Topic: u06d3 Mental Status Exam
    Author: Lena Matheos Date: November 16, 2008 5:09 PM


    Great post! The person you tested did a great job which once again shows that many of our elderly are very alert, intelligent and aware of what is happenning around them. You also stated that if the test was given to her at busy time of her day, the results may have been different. This is an excellent observation as when someone does not have our full attention may hear something other than what we are saying and respond differently, therefore, giving a lower score to that question or questions. In our text, it also states that mental health exams should not be conducted without the consideration of where the person is emotionally or cognitively (Butler, Lewis and Sunderland, 2005).

    I also know from personal experience that when I have been tired, or emotionally distraught when taking a test the results were significantly lower, than when I am in a better state of mind.

    Reference:

    Butler, R., Lewis, M., Sunderland, T., (1998) Aging and the Mental Health Positive: Positive Psychological Biomedical Approaches (5th edition) PRO-ED, Austin

    Lena Matheos

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  3. Subject: Re:Week 6:Response to Tony Astro Topic: u06d3 Mental Status Exam
    Author: Michael Spennato Date: November 19, 2008 8:56 PM


    Hi Tony,
    I had a bit of trouble finding someone to work with me on this exam and the individual I found is part of my family, I find that family although helpful may not be the most appropriate to work with in testing on the basis that one may not be in a position to be objective in analysis. I also found that my subject had a bit of difficulty in MT's zeal to respond to the calculation part. MT, had to slow down to address that part. Nice work

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