II. Technique: Validated brief test
- Questions (6 point test)
- Remember 3 objects: Apple, Table, Penny
- What year is this? (1 point)
- What month is this? (1 point)
- What is the day of the week? (1 point)
- What were the 3 objects? (1 point each)
- Interpretation
- No errors: Cognitive Impairment unlikely
- Three or more errors: High likelihood of Dementia
- References
III. Technique: Other brief testing
-
General
- Pick 1-2 tests to use for quick screening
- Failure on screening requires Mental Status Exam
- Clock Drawing Test
- Time and Change Test
-
Verbal Fluency Test
- Screens for Language and Executive Functioning Impairment
- Make Change
- Here is 67 cents (and tester gives patient change)
- Please give me 32 cents (patient gives back coins)
- WORLD Testing
- Spell WORLD
- Spell WORLD Backwards
- Alphabetize letters in WORLD
- Orientation
- Day of week and Date
- Current address
- Current president
IV. History suggestive of Dementia
- Repetitive questioning may be early marker of Dementia