The mental status exam handout states that the mental status evaluation “is one part of a full neurological examination and includes the examiner’s observations about the patient’s attitude and cooperativeness as well as the patients answers to specific questions”. It is a necessary process in acquiring a cognitive and behavioral viewpoint of the patient during the intake process. Counselors use a specialized systematic of criteria’s to progressively description of a client’s physical appearance and core life (Nussbaum, 2013). According to Zimmerman (2012) interpretation of standardized examination have been found to lack reliability, validity because patients’ responses are unstandardized. This is due to the cues as to what “clinician
