The Standardised Mini-Mental State Exam SMMSE - Client with an Impairment

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

[@kelly4321]

This was a very good video on how to act with a client who has an impairment. The clients abilities may change but from this video and the last video it is seen how the counselor remains the same, neutral , unbiased, and stays on track without giving a clue to the client on whether they answered right or wrong. Another good representation for those like myself who are just starting out in the field.

[@tsbcmhc2083]

Very good example on how to administer this assessment. Thanks to Dr. Grande's even tone and patience, the client did not seem to be uncomfortable in any way.

[@sherrietilghman2745]

I think Dr. Grande did a good job in keeping the flow even when the client was having difficulty

[@veronicabetz9452]

Dr. Grande did a great job demonstrating patience and giving positive affirmations.

[@angelinastanton7996]

I agree he was very patient with the client, but I could see the client was appearing frustrated. I wonder what to do if a client got so frustrated and acted out in violence.

[@tammywitzke6642]

I like the way Dr. Grande administers patience with this client.

[@virginiamurrey9139]

This was a great visual and example of how to conduct an exam like this with an individual with an impairment.

[@reginaames3038]

A different client and different level of impairment however Dr. Grande remained the same in each video. These examples are a great way to demonstrate how we are to maintain our composure with all clients.

[@scottmartin7764]

I really like the variety of these videos and how there is a big difference in how the clients respond and perform but the counselor still responds and handles the reactions in the same non-judgmental way. I also thought that it was interesting that you give the client up to 5 tries to get the "apple, table, penny" section.

[@thecorgisquad9861]

Well played on the cognitive impairment piece. She displayed even more gross impairment than the client from the previous video, which was helpful and alarming because people actually struggle with not only these instruments, but with their mental capacities and disorders. Dr. Grande demonstrated how to be patient and clear when he was trying to administer the instrument to Jessie.

[@MyDonh]

Doc did a good job of staying in character and not allowing the client to unnerve him during the assessment.

[@michellerobinson968]

This video displayed a good example of a client with an even more profound as the previous video. I appreciate Dr Grande's flat affect and his lack of expressive responses. I appreciated how he did not repeat the question regarding "what is the name or address" but continued. I did not know some questions could be repeated, up to 5 times, like with repeating the 3 words. This video can be valuable in understanding and being aware how some clients will present and respond.

[@thecorgisquad9861]

+Michelle Robinson I wasn't aware that portions of the instrument could be reread, but I was glad he included this, and I also appreciated the breakdown on how to score something like this. Great video!

[@Pixieburglar]

+Michelle Robinson I absolutely agree on both parts of your statement. I too, noticed that he did not repeat the question about the building or address but was able to repeat the ones about the words. The information gained from that part of the video on what was allowed or not allowed during the administration was very valuable for me.

[@monicaperry13]

Dr. Grande was very calm and patient during the assessment. His facial expressions and speech stayed the same whether the client answered correctly or not. He gave her a few opportunities to correctly say the three words even though only the first attempt was scored.

[@CandyKaneLane]

I like how this video demonstrated a more severe case of cognitive impairment and how to remain patient, as well as provide the client with time to respond. I like that the client was given a second chance to answer the question in which she got wrong, although only the first attempt counts.

[@kimberlykelly386]

+Candace Fernandez I thought the same! It may allow the client to just recognize that he/she struggled with X, Y, Z rather than completely failed it, even though we know how to score it regardless.

[@jacklinskibicki6098]

This video was helpful in demonstrating how to administer this exam to someone with a cognitive impairment while remaining clear, respectful, and professional. I thought it was useful to see how Dr. Grande remained patient while completing the exam efficiently.

[@jazzynovy5400]

+Jacklin Skibicki Yes, he was very patient. Comes to show how patience plays a key role in therapy!

[@katherinebeck593]

This video was very well done, we all need to be patient with clients and learn how to meet them where they are and take the time that they need to finish.

[@Pixieburglar]

I really like being able to have multiple examples of clients on a continuum of impairment and what each administration of this assessment would look like with the different types of clients. I found this to be one of the most helpful types of videos as it showed a variety of ways sessions can go with assessment administration.

[@jpincinjr]

Seeing multiple exams is definitely helpful!

[@rosasutton8472]

A very good demonstration of the patience and composure counselors need when administering assessments.

[@brittanyvodzak9198]

I liked how this video showed how to administer an exam to clients with cognitive impairments. Even though the client had more of a cognitive impairment Dr. Grande still stayed neutral when providing the instructions.

[@johnharrisjr2808]

I liked the way Dr. Grande was calm and patient with this client that was impaired. I also liked the way he thanked the client that was impaired for participating

[@bethanyelstrom3566]

I found this video to be very helpful. As a counselor many of our clients are going to have issues answer what we may consider to be very simple questions. The counselor does a good job of not making the client feel uncomfortable.

[@jazzynovy5400]

This was a good representation how to administer instruments to clients with limitations. We must be patient and ask the questions in a clear and concise fashion. Dr. Grande allotted time and space for the client to answer the questions on her time and not attempt to speed through to get the test done.

[@amandagerrick5004]

This was a great example of how, as the counselor, to keep calm and be patient with a client who has an impairment while administering this test or any test of this nature.

[@alexdeloach6472]

Great example with how to administer to someone with an impairment. Dr. Grande remained professional and calm, even when she was unable to answer the question correctly. I was intrigued that he asked the client the 3 words multiple times, even though the first was scored.

[@lizconnor1820]

I was surprised to see that as well. I don't remember going by that rule during our use of the assessment but it would be helpful for the recall question. I wonder how likely someone who had difficulty repeating the three words is able to remember them later though.

[@heather7927]

Throughout the session Dr. Grande did not get frustrated or agitated with his client. Dr. Grande came off patient, kind, and reassuring to his client. I liked how he repeated the questions for her and gave her additional times to repeat back. I thought it was helpful that he said “good” after she repeated.

[@ushalincoln9224]

This video was great to see how to work with an impaired client and knowing exactly what to do.

[@kingscotty2018]

She deserves an oscar

[@runner000777]

This is an interesting video on a client with a cognitive impairment. She did a great job displaying symptoms.

[@jpincinjr]

A good example of why we need to be patient and impartial during assessments!

[@carolkirby5869]

Absolutely. I tend to be very transparent in what I am thinking. I have to control that tendency in myself better.

[@kyarapanula1002]

I'm with you on that. I need to work on my poker face! Curious why he skipped the question after she asked him to repeat the name or address of building, but then repeated the apple/table/penny without prompting. I'll have to refer to the SMMSE instructions again....

[@janicedixon2051]

Agreed! I think Dr Grande did a good demonstration with this client. I also didn’t know we could repeat ourselves when testing memory during this assessment. I’ll keep that in mind going forward.

[@mandabear52289]

I think that this was a good example of how someone that was severely impaired would respond to this assessment. I think that Dr. Grande did a great job remaining neutral even when she was having a hard time responding to some of the questions.

[@rachelfoster5463]

+Mandy Moore I agree. Dr. Grande was patient and even repeated things when asked. If he was becoming frustrated or annoyed, he did not show it. This is extremely important when assessing clients.

[@bethanyelstrom3566]

+Mandy Moore The client did a great job expressing impairment. It was a great reflection of what we could see as we perform assessments on our clients.

[@sherrietilghman2745]

I agree , if we can do a mini mental on someone severely impaired we can do one on anyone

[@CandyKaneLane]

+Mandy Moore I agree, patience was definitely demonstrated in this video as the client struggled through a handful of the questions. This was a great video for us to view to help prepare us for clients we may encounter and how to appropriately and professionally handle the situation.

[@janicewoods3072]

This video was very helpful; I wish Dr. Grande would have showed us how he scored the exam.

[@Metalhead-4life]

@@mr.horizons *he

[@zureezee1887]

This was a clear depiction of how this test is more difficult when the client has cognitive impairment and even the simplest questions could not be answered correctly by the client. I wonder if there would be a point to use this test with client's with cognitive impairment but I see how there is some benefit to using this test

[@Mjthfdj]

This video was very helpful and informative.

[@briannagoitiandia9833]

I think the patience that was demonstrated in this example was helpful as to how to act when a client is having difficulty. I would imagine it would be easy to skip steps or provide too much instruction when a client is struggling which would then throw off the results of the test.

[@michelemunday261]

Interesting to see the various mini mental health exams on variety of clients.

[@loriwardwell2957]

good example of assessment with an impaired client!

[@rhondabaileyyy]

I would like to know if you give the results of the exam immediately or at the next session

[@angelinastanton7996]

It was interesting that the counselor went on to the next question after the client requested that he repeat the question. I wonder if this is what you are supposed to do every time this happens, just go to the next question and ignore the request to repeat?

[@ultramusprime32]

May I asked if she passed,because I was following along,I think I messed up a few times

[@aliciazahn1718]

It was interesting that Dr. Grande didn't say one of the prompts after she asked for him to say that again for the address. Yet, the repetitive part was done multiple times. I think I'd have trouble keeping the instructions straight. I'd also feel odd about just moving forward in that scenario.

[@rachelfoster5463]

It was interesting to see this assessment given to someone who did not respond well to the one giving the assessment. This is going to occur in real-life assessments, and I was glad to see how Dr. Grande handled it. Additionally, I wonder how a client would respond to getting five attempts to remember the objects listed during the assessment. I feel that could easily agitate a client who is doing poorly.

[@aliciazahn1718]

+Rachel Foster Yes, I do wonder if that would be agitating. And in that case, would you continue?

[@TupuebloOraYHWH]

is this an ENGLISH TEST ?????OR MENTAL TEST CAUSE IT LOOKS LIKE AN ESL TEST

[@VladyslavKL]

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