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    Client Name Date Time

    Uploaded by

    Alyx Mapue
    This document contains a checklist for observing and documenting a client's mood, appearance, behavior, speech, thought processes, cognition, and risk of harm to self or others. The checklist includes categories like mood, motor activity, affect, speech, thought processes, and cognition. For each category, the observer can select from a list of descriptive options to record their observations of the client's presentation.

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    Client Name Date Time

    Uploaded by

    Alyx Mapue
    28 views2 pages
    This document contains a checklist for observing and documenting a client's mood, appearance, behavior, speech, thought processes, cognition, and risk of harm to self or others. The checklist includes categories like mood, motor activity, affect, speech, thought processes, and cognition. For each category, the observer can select from a list of descriptive options to record their observations of the client's presentation.

    Original Description:

    MSE checklist

    Original Title

    MSE

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    This document contains a checklist for observing and documenting a client's mood, appearance, behavior, speech, thought processes, cognition, and risk of harm to self or others. The checklist includes categories like mood, motor activity, affect, speech, thought processes, and cognition. For each category, the observer can select from a list of descriptive options to record their observations of the client's presentation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    28 views2 pages

    Client Name Date Time

    Uploaded by

    Alyx Mapue
    This document contains a checklist for observing and documenting a client's mood, appearance, behavior, speech, thought processes, cognition, and risk of harm to self or others. The checklist includes categories like mood, motor activity, affect, speech, thought processes, and cognition. For each category, the observer can select from a list of descriptive options to record their observations of the client's presentation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Client

    Name

    Date

    Time

    Mood

    Euthymic

    Anxious

    Angry

    Dishelved

    Appropriate

    Inappropriate

    Slowed

    Agitated

    Restless

    Intense

    Depressed

    Euphoric

    Irritable

    Other

    Comments:

    Observations
    Appearan
    ce
    comments:
    Motor
    Activity

    Neat

    Normal

    Normal

    Cooperative

    Hostile

    Open

    Easily distracted

    Focused

    Defensive

    Other:

    comments:
    Eye contact

    Avoidant

    Evasive

    Posture
    Attitude

    Secretive

    Apathetic

    Childlike

    Others:

    Affect

    Dysphoric

    Happy

    Euthymic

    Irritable

    Angry

    Range

    Normal

    Restricted

    Blunted

    Flat

    Labile

    Appropriateness

    Yes

    No

    Good articulation

    Aphasic

    Quality
    Quantity

    Comments

    Speech
    Fluency

    Clear

    Slurred

    Hesitant

    Amount

    Increased

    Normal

    Decreased

    Tone

    Irritable

    Anxious

    Dysphoric

    Timid

    Angry

    Volume

    Loud

    Soft

    Monotone

    Weak

    Strong

    Thought
    Process

    Normal

    Bizarre

    Comments

    Thought
    Content
    Perceptual
    Disturbances

    None

    Hallucinations

    Comments

    Mood
    Suicidality
    Homicidality

    None

    Possible

    Comments

    None

    Possible

    Comments

    Cognition
    Abstract
    Reasoning

    Abstract

    Concrete

    comments:

    Judgment

    Good

    Poor

    comments:

    Alertness

    Good

    Poor

    comments:

    Orientation
    Concentratio
    n

    Good

    Poor

    comments:

    Good

    Poor

    comments:

    Memory

    Good

    Poor

    comments:

    Calculations
    Fund of
    Knowledge

    Good

    Poor

    comments:

    Good

    Poor

    comments:

    Illusions

    Depersonalization

    Derealization

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