MMSE Following a 3-Stage Command 2

Question 1

In the MMSE 3-stage command, what does each successfully completed stage contribute to the total score?

Accepted Answer

1 point per stage

Answer

Each stage of the 3-stage command is worth 1 point, for a maximum of 3 points total.

Question 2

A patient picks up the paper with both hands instead of one hand. How should this be scored?

Accepted Answer

Full credit because the paper was picked up

Answer

The standard scoring gives credit for picking up the paper regardless of which hand is used, as the instruction simply says 'take the paper.'

Question 3

Which of the following best describes why the 3-stage command tests executive function in addition to comprehension?

Accepted Answer

It requires planning, sequencing, and holding multiple steps in working memory

Answer

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.

Question 4

A patient folds the paper first and then picks it up. How should the examiner score this?

Accepted Answer

No credit for the folding stage, since steps were out of order

Answer

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.

Question 5

Which cognitive domain is PRIMARILY assessed by the 3-stage command in the MMSE?

Accepted Answer

Language comprehension and command execution

Answer

The 3-stage command specifically assesses language comprehension and the ability to follow multi-step verbal instructions.

MMSE - Mini-Mental State Examination Practice Test

MMSE - Mini-Mental State Examination Practice Test

MMSE Following a 3-Stage Command 2