42 PCN Short Test of Mental Status (STMS)

Orientation:

  • 0-8 points
  • Name, address, current location (building), city, state, date (day), month

Attention:

  • 0-7 points
  • Present 5, then 6, then 7 digits to repeat
    • 2-9-6-8-3
    • 5-7-1-9-4-6
    • 2-1-5-9-3-6-2

Immediate Recall:

  • 0-4 points
  • Present four(4) unrelated words to repeat (subtract #trials needed to learn)
    • “apple, Mr Smith, charity, tunnel”

Calculation:

  • 0-4 points
    • 5×13
    • 65-7
    • 58/2
    • 29+11

Abstraction:

  • 0-3 points
  • Describe similarity:
    • Orange – banana
    • Dog – horse
    • Table – bookcase

Construction and Copying:

  • 0-4 points (2 points each)
  • Draw a clock face showing 11:10
  • Copy a cube

Information:

  • 0-4 points
  • President
  • 1st president
  • Define an island
  • Number of weeks in a year

Recall:

  • 0-4 points
  • “apple, Mr Smith, charity, tunnel”

Scoring:

  • 38 possible points
  • 34-38 – normal
  • 29-33 – cognitive impairment
  • 28 or less – dementia

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

Share This Book