Mental Health Nursing Assessment Sheet
Client Name
Date of Assessment
MRN / ID
Assessor
Presenting Problem/Reason for Assessment
History of Present Illness
Past Psychiatric History
Medical History
Current Medications
Allergies
Family History
Social History
Substance Use
Risk Assessment (Suicide, Self Harm, Violence, etc.)
Mental State Examination
Appearance & Behavior
Speech
Mood/Affect
Thought Process
Thought Content
Perception
Cognition
Insight/Judgment
Formulation/Impression
Plan
Nurse Signature
Date