The Folstein Mini-Mental State Exam MMSE - Client with a Cognitive Impairment

This video demonstrates an administration of the Folstein Mini-Mental State Examination (MMSE) with an actor playing the role of a client with a cognitive impairment. This type of exam is also referred to as a Mini-Mental Status Exam.

[@littlebruja7623]

Cool watching this now after having seen the podcasts with Dr. Grande, Mike and Jeff

[@LesliWebandMediaSvcsonYouTube]

I'm watching this as homework from Dr. Newmeyer - thanks for posting these!! So helpful!

[@rachelfoster5463]

This video showed how the Folstein Mini is administered to someone with a cognitive impairment. It was important to see how Dr. Grande handled it. He completed the exam without indicating that the client was doing poorly.

[@kyarabeck2037]

Great example of pacing for the client, meeting them where they are and not rushing through the questions.

[@kyarabeck2037]

Mike was very curious about Dr. Grande's writings, but it did not interfere with the process....

[@heather7927]

This is a great point! I think this video is an important video to watch to gain insight into how to act when administering a test to an individual suffering from a cognitive impairment. This video demonstrated exactly what you stated meeting the client where they are and doing what is best for them.

[@runner000777]

This was a great video and conveyed how a client with a cognitive impairment might act. Nicely done!

[@ilonasheplan5909]

This guy is a good actor.

[@jpincinjr]

Mike did do well. He played the part very well.

[@brittanyvodzak9198]

I liked how Dr. Grande was very patient with the client, even when the client was having difficulty answering questions. I think it is very important not to provide the client with feedback because it could change the results of the assessment.

[@carolkirby9558]

I wholeheartedly agree, the counselor's impatience could easily make concentration worse and thereby further impair memory functions.

[@tammywitzke6642]

Carol, I agree, this is a good example of administering patience.

[@walidsarwary]

Can some one prepare for this test in advance

[@E2M5I0L4Y]

It is good to notice that it is not necessary to follow up with repeating that 'world' should be spelled backwards if the client spells it forward. However, if the client answers positively that he knows what an item it, it is appropriate to follow up with asking what it is.

[@jpincinjr]

Good, neutral responses as normal. Dr. Grande kept it going despite wrong answers.

[@kimberlykelly386]

This was a great example of a client with a cognitive impairment. It really shows how important these assessments can be. It may seem like an easy test but can be very helpful in gauging possible cognitive impairments that may not otherwise by obvious when meeting with a client.

[@jazzynovy5400]

+Kimberly Kelly Yes, this video was very helpful how to administer the instrument and not letting the client's cognitive impairment stop from completing the test.

[@victorhugoraga4896]

Never seen Mike without beard before ☺️

[@MyDonh]

this client displayed obvious cognitive impairments and Doc did a good job of remaining composed and nonjudgemental

[@reginaames3038]

I like how each person has a different level of cognitive impairment and how Dr. Grande remained the same in each assessment.

[@brittanyvodzak9198]

+Regina Ames I also liked seeing the different levels of impairments, which will be very helpful when we are working with clients.

[@CandyKaneLane]

This video did a good job of demonstrating what it may look like administering the Folstein Mini-Mental State Exam to someone with a more severe cognitive impairment. I like that Dr. Grande went slowly and remained patient throughout the process when the client would get stuck or answer with a "yes" to certain questions in which Dr. Grande would then repeat the question for the client.

[@mandabear52289]

His patience with the client was really great. He gave the client time to respond and repeated slowly when necessary.

[@melissaclendaniel9811]

It is helpful to see a variety of students, cognitive abilities, and versions of the assessments being used because we will encounter a variety of scenerios in the feild.

[@michellerobinson968]

+Melissa Clendaniel We will definitely encounter clients with different levels of cognitive functioning.

[@michellerobinson968]

+Melissa Clendaniel We will definitely encounter clients with different levels of cognitive functioning.

[@aliciazahn1718]

This was a helpful video for modeling this assessment with a client who is more cognitively impaired. Previous videos seemed to have just been slightly, or not at all, impaired.

[@jacklinskibicki6098]

+Alicia Zahn Agreed. This video demonstrated a more severe level of cognitive impairment, which has been very helpful.

[@Mjthfdj]

Great demonstration from the counselor and the client. I enjoyed this video.

[@thecorgisquad9861]

These videos are helpful to see different clients acting out the role of an individual with a cognitive impairment, but they are a bit redundant after watching all of them. I do feel slightly more comfortable if I were in a position of having to administer this to a client after watching so many of them.

[@sherrietilghman2745]

I agree, it seems like after two or three they kind of all run together.

[@bethanyelstrom3566]

Each one of these videos is slightly a little more impaired than the previous. This could be any typical day during an intake session. It's a great reminder of our role as the counselor to be mindful of the individual's cognitive impairment.

[@michellerobinson968]

This was a good and accurate demonstration of cognitive decline.

[@bethanyelstrom3566]

+Michelle Robinson The counselor did a great job of not showing any judgement towards the client as he continued to show impairment.

[@jacklinskibicki6098]

This video demonstrated working with a client who has a more severe cognitive impairment, which is valuable to observe, as we will likely encounter similar counseling experiences in our future careers.

[@CandyKaneLane]

+Jacklin Skibicki I agree, I think these videos are helpful for us as we begin practicum/internship to prepare us for clients that we may encounter.

[@mandabear52289]

This client clearly has cognitive impairment. Dr.Grande remained calm and gave the client enough time to respond. He never indicated how the client was doing.

[@kimberlykelly386]

+Mandy Moore I thought the same thing. Dr. Grande does a great job staying on task and not reacting which likely helps the client feel more at ease.

[@katherinebeck593]

This was a great video.

[@jazzynovy5400]

This video showed how to administer the Folstein MMSE with a client with a cognitive impairment. But I wonder if the client is having so many errors beginning the test, would you just stop and administer a different test that would be better suited for the client's cognitive status?

[@derstoffausdemderjoghurtis]

Hes actually doing fairly well for his supposed condition

[@sherrietilghman2745]

Not really that much different than the other exam. Dr. Grande did a good job of keeping the exam flowing. I did notice that Dr. Grande asked the client if he could tell him what a particular item was and the clients answer was "yes". Dr. Grande than had to ask him what it was every time he asked that question. I can imagine that happens on many occasions during exams with clients who are impaired.

[@rachelfoster5463]

+Sherrie Tilghman I thought the same thing when I watched the video! With a client with a cognitive impairment, they would most likely answer some of the questions with a yes or no rather than giving an answer. I thought Dr. Grande handled this very smoothly.

[@jamesgardner9583]

Jesus help George.... Brother James 🙏

[@unclebucksquarter]

I swear for the last 10 years I only remember 2 outta 3 words. And the tests were for someone else. I just happen to be at the testing. Yikes 😬

[@michaelangelo8139]

The first question would be what did you eat for dinner . Answer , a lot . 😂