Following a 3-Stage Command Flashcards
7 cards from real MMSE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Following a 3-Stage Command flashcards as text
In the MMSE 3-stage command, what does each successfully completed stage contribute to the total score?
Answer: 1 point per stage
Each stage of the 3-stage command is worth 1 point, for a maximum of 3 points total.
A patient picks up the paper with both hands instead of one hand. How should this be scored?
Answer: Full credit because the paper was picked up
The standard scoring gives credit for picking up the paper regardless of which hand is used, as the instruction simply says 'take the paper.'
Which of the following best describes why the 3-stage command tests executive function in addition to comprehension?
Answer: It requires planning, sequencing, and holding multiple steps in working memory
Executing a multi-step command requires working memory to hold the sequence and frontal lobe executive function to plan and carry out each step in order.
A patient folds the paper first and then picks it up. How should the examiner score this?
Answer: No credit for the folding stage, since steps were out of order
The MMSE 3-stage command requires steps to be completed in the correct sequence; credit for the fold stage is not given if it precedes picking up the paper.
Which cognitive domain is PRIMARILY assessed by the 3-stage command in the MMSE?
Answer: Language comprehension and command execution
The 3-stage command specifically assesses language comprehension and the ability to follow multi-step verbal instructions.
Why is the MMSE 3-stage command read aloud rather than shown as written text?
Answer: To test auditory comprehension and verbal command following
Reading the command aloud tests auditory comprehension; a separate MMSE item (the written 'Close your eyes' command) tests reading comprehension.
A patient with severe hearing loss cannot hear the 3-stage command. What is the best approach?
Answer: Skip the item and adjust the total score denominator
When a sensory deficit prevents administration of an item, the item is typically omitted and the score is prorated over the remaining items rather than penalizing the patient.