Kaigo Fukushishi 介護福祉士

Exam 36 · 第36回 · 認知症の理解 (Understanding Dementia)

Question 40 問40

認知症にんちしょう(dementia)の行動こうどう・心理症状しんりしょうじょう(BPSD)であるアパシー(apathy)に関かんする次つぎの記述きじゅつのうち,適切てきせつなものを1つ選えらびなさい。

  1. 感情かんじょうの起伏きふくがみられない。
  2. 将来しょうらいに希望きぼうがもてない。
  3. 気持きもちが落おち込こむ。
  4. 理想りそうどおりにいかず悩なやむ。
  5. 自分じぶんを責せめる。

Translation

Among the following statements about apathy, a behavioral and psychological symptom of dementia (BPSD), choose the 1 option that is appropriate.

  1. There is no rise and fall in emotion.
  2. The person cannot feel hope for the future.
  3. The person's mood sinks (feels down).
  4. The person is troubled because things do not go the way they ideally want.
  5. The person blames themselves.
Show answer and explanation

Answer: 1

Why 1 is correct

Apathy is a state in which a person loses motivation and initiative. They stop acting on their own, and their emotions no longer rise and fall — for example, feeling happy or sad.

Why 2 is wrong

"Cannot feel hope for the future" is a way of thinking seen in a depressed state. A person with apathy worries less about the future in general — this kind of worrying itself decreases.

Why 3 is wrong

"Mood sinks" is a symptom of a depressed state. Apathy is not a low mood — it is a state where the emotions stop moving at all.

Why 4 is wrong

"Troubled because things do not go the way they ideally want" describes a person who still has goals and is troubled by them. With apathy, motivation itself is gone, so this kind of worrying does not happen.

Why 5 is wrong

"Blames themselves" is the self-blame seen in a depressed state. A person with apathy rarely blames themselves, and often does not express their distress on their own.

Key point

Apathy (アパシー) means losing motivation and showing no ups and downs in emotion.

Key terms

アパシーアパシー
A state in which motivation and initiative are lost, and the person stops acting on their own. Also called apathy.
行動・心理症状こうどうしんりしょうじょう
BPSD. Symptoms such as anxiety, agitation, delusions, and apathy that appear in addition to the core symptoms of dementia.
感情の起伏かんじょうのきふく
The rise and fall of feelings, such as happiness and sadness.
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Exams 36–38, all 13 subjects, with furigana and an English explanation of every choice. The subject 「認知症の理解」 is free.