ACR Appropriateness Criteria: dementia and movement disorders. Search features for the Department of Psychiatry and Behavioral Sciences section only. In: LeBlond RF, Brown DD, Suneja M, Szot JF, eds. An expert panel Intellectual Functioning (observed/inquired) Components of the Mental Status Examination I. 6. 2009;29(3):185–193.... 2. American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department. https://www.aafp.org/afpsort. It includes both objective observations of the clinician and subjective descriptions given by the patient. Tsoi KK, The most widely researched cognitive testing tool is the MMSE. 8. Reprints are not available from the authors. General: accent, clarity, stuttering, lisp, Latency (pauses between questions and answers): increased or decreased, Intonations: decreased (monotone), normal, General: increased activity (restlessness, agitation), decreased activity, Cooperative, friendly, reluctant, hostile, Tight, logical, goal directed, loosened, circumstantial, tangential, flight of ideas, word salad, Hallucinations (auditory, visual, olfactory), (Patient describes in own words and rates on a scale 1-10), Type: depressed/sad, anxious, euphoric, angry, Range: full range, labile, restricted, blunted/flattened, Appropriateness to content and congruence with stated mood, Immediate recall, three and five minute delayed recall of three unrelated words, Day, date, month, year, place, president; Serial 7's (or 3's), WORLD — DLROW, digit span, Good, limited or poor (based on actions, awareness of illness, plans for the future), Cognitive: memory or concentration changes, Mood: depression, mania, suicidal ideation, guilt, Neurovegetative: sleep, appetite, libido, interests, energy, Anxiety: anxiety symptoms, panic/agoraphobia, obsessions/compulsions, flashbacks/hypervigilance, Violence: rages, assaults, homicidal ideation, Impulse Control: pathological gambling, trichotillomania, kleptomania, Bernstein: On Call Psychiatry 1997 UNR Bookstore, DSMIV: Quick Reference Guide to the Diagnostic Criteria 1994 UNR Bookstore, Goldman: Review of General Psychiatry 1995 Dept. Phobias: anxiety disorder, posttraumatic stress disorder, Suicidality: depression, posttraumatic stress disorder, substance use. Author disclosure: No relevant financial affiliations. Also searched were Essential Evidence Plus and the Cochrane Database of Systematic Reviews. Do you think people are stealing from you? A mental status examination, just like a physical examination, is an intrusion on the patient’s rights and should not be conducted against the patient’s will. McKhann GM, Cognitive tests to detect dementia: a systematic review and meta-analysis. note: Each of these items may be suggestive of various diagnoses, but none are sufficient to make a diagnosis without a comprehensive clinical evaluation. Ability to carry out intentional motor acts, Apraxia: inability to carry out motor acts; deficits may exist in motor or sensory systems, comprehension, or cooperation. Stoudemire: Clinical Psychiatry 1998 - Dept. et al. Explain with examples and rationales. 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