Reference for Mental State Examination

Mental State Exam (MSE)

Points are in square brackets. Maximum score is 30.

  • Knowledge of time [1 each]:
    • Date
    • Day
    • Season
    • Year
    • Month
  • Knowledge of location [1 each]:
    • Country
    • State/Province
    • Town
    • Hospital
    • Ward
  • Dr. says 3 objects.
  • Pt repeats them [1 each correct].
  • Note number of trials needed.
  • Count backwards from 100 by 7's [1 each for 1st 5 correct].
  • Alternatively: spell WORLD backwards [1 each correct].
  • Pt. recalls the names of items in Registration [1 each correct].
  • Pts names 2 shown objects [2].
  • Pt repeats statement: "No ifs, ands or buts" [1]
  • Pt follows command [1 for each step]:
    • Take paper in right hand.
    • Fold in half.
    • Put in on table
  • Pt reads the phrase "CLOSE YOUR EYES" and can do it [1].
  • Pt reads the phrase "WRITE A SENTENCE" and can do it [1].

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Q&A

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Describe possible reasons why Holden gets into a fight with Stradlater. What is Holden's mental state at this point? - Homework Help - eNotes.com

The first thing that upsets Holden before the fight is Stradlater's reaction to the essay about Allie's baseball glove which Holden keeps with him. The glove is covered with Allie's poems and is probably the best keepsake That Holden has of his brother.


The other thing that is bothering Holden is the thought of Stradlater being alone with Jane Gallagher. Holden was obviously very fond of Jane and shows some irritation when Stradlater refers to her as "Jean". Holden asks Stradlater "What'd you do?" "Give her the time in Ed Banky's goddam car?"  Holden says his voice was "shaking somethi…

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