Screening for Delirium, Dementia and Depression in Older Adults

Nursing Best Practice GuidelineAppendix F: Clock Drawing TestThe circle below has been provided for your client to perform the Clock Drawing Test. Thebox has been provided for your client to write the time as it would be written on a timetable.Instructions: Present the circle below to the client, explaining that it is the face of a clock.Step One: Ask the client to put the numbers in the correct positions.Step Two: Ask the client to draw in the hands to indicate ten minutes after eleven.Step Three: Ask the client to write the time in the box, as it would be written on a timetable.If the client has written the time incorrectly in the box, investigate whether the client hasunderstood the requested time correctly.65NB: There are several ways of scoring this test. There are also a variety of interpretationsof the clock drawing test, both subjective and objective. The method of interpretations isdetermined by the individual agency or facility depending on their clinical practice.Write the timein this boxCockrell, R. & Folstein, M. (1988). Mini-mental state examination. Journal of Psychiatry Research, 24(4), 689-692.Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). “Mini-mental state.” A practical method for grading the cognitivestate of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.