[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-571667-105":3,"detail-sidebar-cat-1-en-105":78,"doc-detail-571667-en":124},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":71,"head_meta":73,"extra_data":75,"updated_unix":77},105,"en","mental-status-exam-checklist-quick-reference","Mental Status Exam Checklist - Quick Reference","","A structured mental status exam checklist for clinical observation and interview. It guides assessment across appearance and grooming, general behavior, speech and language, emotions, thought process and content, perception, cognition, judgment and impulse control, motivation, reliability, and—when relevant—environmental factors. The form uses explicit prompt questions and selectable options to help clinicians systematically document mental health findings and organize next steps for evaluation.",{"@graph":14,"@context":70},[15,34,49],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/mental-status-exam-checklist-quick-reference/571667/",4,{"url":32,"name":10,"@type":35,"author":36,"headline":10,"publisher":39,"fileFormat":42,"inLanguage":8,"description":12,"dateModified":43,"datePublished":43,"encodingFormat":42,"isAccessibleForFree":44,"interactionStatistic":45},"DigitalDocument",{"name":37,"@type":38},"lugxt","Person",{"url":19,"name":40,"@type":41},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":46,"interactionType":47,"userInteractionCount":4},"InteractionCounter",{"@type":48},"ViewAction",{"@type":50,"mainEntity":51},"FAQPage",[52,58,62,66],{"name":53,"@type":54,"acceptedAnswer":55},"What areas does the checklist cover in a mental status exam?","Question",{"text":56,"@type":57},"It covers appearance and grooming, general behavior, speech and language, emotions, thought process/content, perception, cognition, judgment and impulse control, motivation and reliability, and relevant environmental observations.","Answer",{"name":59,"@type":54,"acceptedAnswer":60},"How is memory assessed in the checklist?",{"text":61,"@type":57},"It suggests tasks such as repeating three words immediately and again after five minutes, signing a name while answering unrelated questions, and recalling personal details like birthday and parents’ names.",{"name":63,"@type":54,"acceptedAnswer":64},"What does the checklist ask for when evaluating thought process and thought content?",{"text":65,"@type":57},"It prompts for descriptors of thought process (e.g., goal-directed, tangential, word salad) and thought content (e.g., suicidal ideation, obsessions, delusions, phobias, worries).",{"name":67,"@type":54,"acceptedAnswer":68},"Does the checklist include guidance for assessing the client’s living environment?",{"text":69,"@type":57},"Yes. It instructs clinicians to consider odd decisions and signs in the surroundings, such as blocking doors/windows, unusual decorations or wires, inappropriate use of household objects, extreme clutter or dirt, and collecting junk or garbage.","https://schema.org",{"og:url":32,"og:type":72,"og:title":10,"og:site_name":40,"og:description":12},"article",{"robots":74,"canonical":32},"index,follow",{"doc_id":76,"site_id":7},571667,1791923062,{"code":4,"msg":79,"data":80},"success",[81,86,91,96,101,106,110,115,120],{"id":82,"doc_module":22,"doc_module_name":25,"category_name":83,"show_sort_weight":84,"slug":85},11,"Presentations",90,"presentations",{"id":87,"doc_module":22,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},12,"Resumes",80,"resumes",{"id":92,"doc_module":22,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},14,"Invoices",70,"invoices",{"id":97,"doc_module":22,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},15,"Posters",60,"posters",{"id":102,"doc_module":22,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},16,"Social Media",50,"social-media",{"id":107,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},17,40,"forms",{"id":111,"doc_module":22,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},18,"Letters",30,"letters",{"id":116,"doc_module":22,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},21,"Paper Templates",5,"papers-templates",{"id":121,"doc_module":22,"doc_module_name":25,"category_name":122,"show_sort_weight":4,"slug":123},158,"General","general-158",{"code":4,"msg":79,"data":125},{"doc_id":76,"user_id":126,"nickname":37,"user_avatar":127,"doc_module":22,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":128,"file_id":129,"file_url":130,"file_type":131,"file_size":132,"view_count":4,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":133,"language":134,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":135,"faqs":136,"seo_title":137,"seo_description":12,"update_tm":77,"read_time":30},3985747862600,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Mental Status Exam Checklist \n1. Appearance \nHygiene and Grooming \nWould you describe your client's hygiene and grooming as: \n Clean Neat \n Disheveled \n Shaven Unshaven Hair Brushed \n Hair Unbrushed \nDress \nIs your client's clothing: \n Casual \n Business Inappropriate Ragged \n Immaculate Fashionable Dirty \n Neat Bizarre Stained \nDistinguishing Features \nDoes your client have any distinguishing features, such as: \n Tattoos \n Piercings \n Scars \nApparent Age \nDoes your client appear: \n Older than their stated age \n Younger than their stated age \nBody Mass Index \nIs your client's habitus: \n Normal Obese \n Underweight \n Overweight \nFacial Expressions \nDoes your client appear: \n Calm Sad \n Angry \n Anxious \n Perplexed \n2. General Behavior \nEye Contact \nIs your client's eye contact: \n Appropriate \n Avoidant \n Decreased \n Heightened \nMotor Activity \nDoes your client display: Normal activity Tension \n Decreased activity Limp \n Agitation Slowed \n Restless Shuffle \n TICS Unsteady \n Use a cane, crutches or another device \nTardive Dyskinesia \nDoes your client display unusual movements in the jaw, face or tongue, such as: \n Grimacing Lip pursing \n Tongue writhing Chewing \n Lip smacking \nCooperativeness and Attitude \nDoes your client exhibit an appropriate level of cooperation, or are they: \n Evasive Withdrawn Hostile Open Suspicious \n Guarded \n Passive \n Overly friendly Shy \n Playful \n Sullen Demanding Relaxed Candid \nMovements \nDoes your client display any unusual or repetitive movements, such as: \n Tics \n Mannerisms Head-nodding Waving \n Twitches \n Tremor \n Finger-tapping Pacing \n Posturing Body-rocking Arm- flapping \n3. Speech and Language \nGeneral \nDoes your client speak clearly or have an: \n Accent Stutter Lisp \nRate \nIs your client's rate of speech: \n Normal Slow \n Delayed onset \n Fast \nRhythm \nIs your client's speech: \n Articulate Dysarthric \n Slurred \n Monotone \nVolume \nIs your client's speech: \n Soft \n Loud \n Mute \nContent \nIs your client: \n Loquacious \n4. Emotions \n Fluent \n Impoverished \nMood \nDoes your client say they feel: \n Depressed Irritable \n Sad Good \n Angry Fantastic \nAffect \nDoes your client seem to be: \n Euthymic Angry \n Anxious \n Depressed Elated \n Irritable Euphoric \nRange \nIs your client's affect range: \n Broad Labile \n Restricted Anhedonic \n Flat \nCongruency \nIs your client's affect: \n Congruent to their mood \n Incongruent to their mood \nThought Process \nWould you describe your client's thought process as: \n Goal-directed Illogical \n Blocking Tangential Word salad \n Impoverished \n Incoherent Circumstantial Loose \n Rapid \n Distractible Perseverative Flight of ideas \nThought Content \nDo your client's thoughts consist of: \n Suicidal ideation Obsessions Phobias \n Homicidal ideation Worries \n Ruminations \n Distortions Compulsions \n Grandiose, somatic, paranoid or other delusions \nPerception \nIs your client experiencing: \n No hallucinations Tactile hallucinations Derealization \n Auditory hallucinations Olfactory hallucinations Depersonalization \n Visual hallucinations Illusions \n6. Cognition \nAlertness \nIs your client: \n Alert \n In a stupor \n Lethargic Comatose \n Obtunded \nOrientation \nDoes your client know: \n Their name \n The time \n Their current location \n The date \nMemory \nTo test your client's memory, you might ask them to do the following: \n Repeat three words immediately and again in five minutes \n Sign their name while answering unrelated questions \n Tell you their birthday, where they were born and their parents' names. \nDoes your client display: \n No impairment \n Short-term impairment \n Long-term impairment \nAttention \nDoes your client's attention seem: \n Normal \n Distracted \nInsight \nDescribe your client's insight or their awareness of their situation or condition: How well does your client underst","cbCaifF6F1xav1FZ","https://ap.wps.com/l/cbCaifF6F1xav1FZ","pdf",180768,7,"English","# Mental Status Exam Checklist\n## Appearance\n## General Behavior\n## Speech and Language\n## Emotions\n## Cognition\n## Environment","[{\"question\":\"What areas does the checklist cover in a mental status exam?\",\"answer\":\"It covers appearance and grooming, general behavior, speech and language, emotions, thought process/content, perception, cognition, judgment and impulse control, motivation and reliability, and relevant environmental observations.\"},{\"question\":\"How is memory assessed in the checklist?\",\"answer\":\"It suggests tasks such as repeating three words immediately and again after five minutes, signing a name while answering unrelated questions, and recalling personal details like birthday and parents’ names.\"},{\"question\":\"What does the checklist ask for when evaluating thought process and thought content?\",\"answer\":\"It prompts for descriptors of thought process (e.g., goal-directed, tangential, word salad) and thought content (e.g., suicidal ideation, obsessions, delusions, phobias, worries).\"},{\"question\":\"Does the checklist include guidance for assessing the client’s living environment?\",\"answer\":\"Yes. It instructs clinicians to consider odd decisions and signs in the surroundings, such as blocking doors/windows, unusual decorations or wires, inappropriate use of household objects, extreme clutter or dirt, and collecting junk or garbage.\"}]","Mental Status Exam Checklist - Quick Reference | PDF"]