Which mental status assessment tool(s) would be appropriate for use in long-term care facilities? (Select all that apply.)
a. Fulmer SPICES
b. Clock Drawing Test
c. The Mini-Cog
d. Mini-Mental State Examination (MMSE)
B, C, D
The Clock Drawing Test, which has been used since 1992, is a screening tool that helps identify those with a cognitive impairment and is used as a measure of severity. The Mini-Cog was de-veloped as a tool that could establish cognitive status more quickly than the MMSE and the li-mitations of educational adjustments. It is now the recommended evidenced-based tool and combines one aspect of the MMSE (short-term memory recall) with the test of executive function of the Clock Drawing Test. It has been found to be highly sensitive to diagnosing dementia. The MMSE tool has been used most often and is a 30-item instrument that has been used to screen for cognitive difficulties and is one of the tools often used in determining a diagnosis of dementia or delirium. Fulmer SPICES is an overall assessment tool developed in 2007.
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