Exam 37 · 第37回 · 認知症の理解 (Understanding Dementia)
Question 39 問39
次の記述のうち，2019年（令和元年）の認知症施策推進大綱に関する説明として，最も適切なものを1つ選びなさい。
- 「共生」と「予防」を車の両輪として施策を推進していく。
- 「予防」とは，「認知症（dementia）にならない」という意味である。
- 「認知症高齢者等にやさしい地域づくり」を推進する7つの柱が示された。
- 「普及啓発・本人発信支援」として，家族が積極的に本人の意思を代弁することが示された。
- 策定後は，毎年施策の進捗を確認することが示された。
Translation
Among the following statements about the National Framework for Dementia Policy Promotion (認知症施策推進大綱) of 2019 (Reiwa 1), choose the most appropriate one.
- The policy moves forward with 'living together' (共生) and 'prevention' (予防) as its two main wheels.
- 'Prevention' (予防) means 'not getting dementia (認知症).'
- It set out 7 pillars for building communities that are kind to older people with dementia (認知症) and others.
- Under 'raising awareness and supporting the person's own message' (普及啓発・本人発信支援), it says that family members should actively speak for the person's wishes.
- After the plan was made, it says the progress of the policy should be checked every year.
Show answer and explanation
Answer: 1
Why 1 is correct
The National Framework for Dementia Policy Promotion moves forward with 'living together' (共生) and 'prevention' (予防) as its two main wheels. 'Living together' means that people with dementia (認知症) can keep living in the community they know well. 'Prevention' means delaying the start of dementia. This idea was carried on in the Basic Plan for Dementia Policy Promotion, decided by the Cabinet in December 2024 (Reiwa 6).
Why 2 is wrong
In the Framework, 'prevention' does not mean 'not getting dementia (認知症).' It means 'delaying the start of dementia' or 'slowing it down after it starts.'
Why 3 is wrong
The 7 pillars for 'building communities that are kind to older people with dementia (認知症) and others' were set out in the New Orange Plan (Comprehensive Strategy to Promote Dementia Policies) of 2015 (Heisei 27). The 2019 Framework has 5 pillars.
Why 4 is wrong
'Support for the person's own message' means helping the person with dementia (認知症) express their own thoughts in their own words. It does not mean family members speaking for them.
Why 5 is wrong
The Framework covers the period up to 2025 (Reiwa 7), and it says progress should be checked at around the 3-year mark, not every year.
Key point
The Framework for Dementia Policy Promotion (認知症施策推進大綱) has "living together" (共生) and "prevention" as its two wheels.
Key terms
- 認知症施策推進大綱
- A document made by the government in 2019 that shows the direction of dementia (認知症) policy.
- 共生
- Being able to keep living together in the same community, even after getting dementia (認知症).
- 本人発信支援
- Helping the person with dementia (認知症) share their own thoughts and wishes in their own words.
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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.