The Mini-Mental State Examination (MMSE) is a 30-point test used to screen for cognitive impairment. It tests several areas including orientation, registration, attention, recall, language, and visual-spatial skills. The test takes 10-15 minutes to administer and includes questions about orientation to time and place, registration of objects, attention and calculation, recall of objects, language skills, and the ability to follow commands. Scores are interpreted based on cut-offs, with scores below 24 indicating cognitive impairment. The MMSE provides a quick method to monitor changes over time but has limitations such as bias against those with low education.

1. MENTAL HEALTH NURSING
MMSE
Submitted to : Prerna ma’am
Presented by:
Tutor college of nursing Rashi Nirwan
06350306619
BSC (H) NSG.4TH
VMMC and sjh.

2. INTRODUCTION
The Mini-Mental State Examination (MMSE) or Folstein test is a 30-point
questionnaire that is used extensively in clinical and research settings to
measure cognitive impairment.
Itwas developed by Dr. Marshall Folstein in the year of 1975
The Mini-Mental State Exam (MMSE) is a widely used test of cognitive function
among the elderly: it includes tests of orientation, attention, memory, language
and visual-spatial skills.
The mini-mental state examination is proprietary and takes about 10-15
minutes to administer.

3. DEFINITION
The Mini-Mental status Examination is a
cognitive test to screen for the presence of
cognitive impairment example Dementia

4. Purpose of MMSE
It is useful in helping differentiate between
a variety of systemic conditions, as well as
neurologic and psychiatric disorders ranging
from delirium and dementia to bipolar
disorder and schizophrenia.

5. COMPONENTS OF MMSE
● Orientation
● Registration
● Attention Calculation
● Recall
● Language

6. ORIENTATION
● Which year is this?
● . Where are we now?
● Which State we live in?
● What is the name of this County ?
● What Season it is?
● What is today's date?
● What is the Day of the week?
● Which Month is this?
● What is the name of this city?
● • What Floor are we on?

8. REGISTRATION
● objects clearly and slowly, then the instructor asks the patient to
name all three of them.
● The patient's response is used for scoring.
● The examiner repeats them until patient learns all of them, if
possible. [Example
● Examiner names 3 objects (eg apple, table, car) Patient asked to
repeat (1 point for each correct)].
● Maximum score is 3

10. ATTENTION AND CONCENTRATION
● "I would like you to count backward
● Subtract 7 from 100, then repeat from result.
● Continue 5 times: 100 93 86 79 65
● Alternative: "Spell WORLD backwards." (D-L-R-O-W)
● Maximum score is 5

12. RECALL
● Earlier I told you the names of three things.
● Can you tell me what those were?"
Maximum score is 3.

14. LANGUAGE
● Naming: Show the patient two simple objects, such as wristwatch and a pencil, and
ask the patient to name them. 1 point for each
● Maximum score is 2
● Repetition: Ask the person to repeat the following. No ifs" & or buts" (1point).
Allow only one trial
● Maximum score is 1
● Command: Give a 3 stage command. Score 1 for each stage. Eg. "Place index finger
of right hand on your nose and then on your left ear"
● . Maximum score is 3

18. SCORING AND INTERPRETATION
● The Mini-mental state examination is scored on a scale of 0-30 with scores >
25 interpreted as normal cognitive status. •
● Severe cognitive impairment: 59
● Moderate cognitive impairment 10-18
● Mild cognitive impairment: 19-23
● No cognitive impairment: 24-30
● Interpretation of the mental status examination must take into account the
patient's native language, education level, and culture as these factors can
affect performance!

19. ADVANTAGES OF MMSE
● >Relatively quick and easy to perform
● Requires no additional equipment
● Can provide a method of monitoring
deterioration over time

20. DISADVANTAGES OF MMSE
● Biased against people with poor education due to elements of
language and mathematical testing
● - Bias against visually impaired -
● Limited examination of visuospatial
● cognitive ability
● Poor sensitivity at detected mild/early dementia

21. ● Copyrighted and should the most up to date version should
officially only be accessed via the Psychological Assessment
Resourcing (PAR)
● -Patients new to a region may not geographic orientation
aspect of
● the test - False positives can lead to anxiety labelling and
stigma

22. FORMAT OF
MMSE