What does getting an “A” on a Mini Mental Status Exam mean?
What is a perfect score on cognitive testing and what does it mean? Having represented clients in well over 300 guardianships I have seen the common cognitive tests and how they are interpreted many times. Scoring well on them may or may not represent what you think it does.
Are the Montreal Cognitive Assessment (MoCA) or the Similar Folstein Mini Mental Status tests Easy?On its surface, the Montreal Cognitive Assessment (MoCA) or the Similar Folstein Mini Mental Status test seems pretty easy. Can you draw a three-dimensional cube? Can you identify these various animals? Can you draw a clock? Can you repeat back the phrase, *The cat always hid under the couch when dogs were in the room*? . . . If you look at the test, it*s pretty hard to see how you could not score a 30. You see a picture of a lion and must identify it as a lion? That old joke about how the elderly and toddlers are subject to the same indignities seems pertinent here: Is this really the bar that needs to be met to demonstrate full mental capabilities? According to those who study dementia and other mental deterioration, yes.
Anthony MarshallAnthony Marshall. Marshall was the son of Brooke Astor, a New York socialite and heiress to the much-diminished Astor fortune. If you*ve ever traveled to New York, you*ve encountered the name: Astor Place, the Waldorf-Astoria or the Astoria neighborhood in Queens. Marshall was accused of having taken advantage of Astor*s diminished mental state to change her will without her being aware of the changes made. Ultimately, the 12 members of the jury found Marshall guilty of several charges. Over the course of that trial, we were presented with a great deal of information about how doctors assess the mental capabilities of a patient. This was critical to the prosecution; were they not able to prove that Astor*s mental state was diminished, it undercut their argument that Marshall had acted without his mother*s consent. As such, expert witnesses testified about their personal examinations of Astor and others spoke to the reliability of the tests.