Mental status tests are used to determine whether a disease or condition is affecting a person's thinking abilities, and whether a person's mental condition is improving or getting worse.
Alternative Names: Memory; Word comprehension; Orientation; Attention span; Cognitive tests
How the test is performed:
The following tests may be performed:
APPEARANCE
The health care provider will check the person's physical appearance, including:
Age
Dress
General level of comfort
Gender
Grooming
Height/weight
ORIENTATION
The health care provider will ask questions that may include:
The person's name, age, and job
The place where the person lives, type of building, city, and state
The time, date, and season
ATTENTION SPAN
The provider will test the person's ability to finish a thought, either through conversation, or by asking the person to follow a series of directions.
RECENT MEMORY
The provider will ask questions related to recent people, places, and events in the person's life or in the world.
REMOTE MEMORY
The provider will ask about the person's childhood, school, or historical events that occurred earlier in life.
WORD COMPREHENSION
The provider will point to everyday items in the room and ask the person to name them.
JUDGMENT
To test the person's judgment and ability to solve a problem or situation, the provider might ask questions such as:
"If you found a driver's license on the ground, what would you do?"
"If a police officer approached you from behind in a car with lights flashing, what would you do?"
How to prepare for the test:
No preparation is necessary for these tests. All responses should be natural, spontaneous, and honest.
Preparation, especially by a highly intelligent person, could change the results of the test by making it seem that mental function has not declined when it actually has.
How the test will feel:
There is no physical discomfort.
Why the test is performed:
Normal Values:
Orientation to person, place, and time
Normal attention span
Normal judgment
Normal recent memory
Normal remote memory
Normal word comprehension, reading, and writing
What abnormal results mean:
Each test can identify different possible problems, as described below.
ORIENTATION
Typically, orientation to time is first to be lost, followed by orientation to place, then to person. There are many possible causes for disorientation:
People who are unable to complete a thought, or are easily distracted, may have an abnormal attention span. This may have a number of causes, including:
A medical disorder may cause loss of recent memory but keep remote memory intact. Remote memory is lost when damage to the upper part of the brain occurs in diseases such as Alzheimer's disease .
Some tests that screen for language problems using reading or writing do not account for people who may never have been able to read or write. If you know that the person being tested has never been able to read or write, tell the health care provider in advance.
If your child is having any of these tests performed, it is important to help him or her understand the reasons for the tests.
Review Date: 2/13/2008 Reviewed By: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
