Exam 37 · 第37回 · 認知症の理解 (Understanding Dementia)
Question 40 問40
Ａさん（84歳，女性，要介護3）は，アルツハイマー型認知症（dementia of the Alzheimer’s type）で，介護老人福祉施設に入所している。赤ちゃんの人形を持っていて，「はなちゃん」と呼んで話しかけている。昼食のため，介護福祉職が居室を訪問すると，Ａさんは不安そうな顔で，「はなちゃんがいなくなった。どこへ連れて行ったの？返して」と大声を出した。人形はＡさんのロッカーの上に置かれていた。Ａさんに対する介護福祉職の最初の声かけとして，最も適切なものを1つ選びなさい。
- 「私を疑っているんですか」
- 「置いた場所を忘れたんですか」
- 「心配ですね，一緒に探しませんか」
- 「ご飯を食べてから探してはどうですか」
- 「ロッカーの上にあるのが見えないんですか」
Translation
Ms. A (84 years old, female, care level 3) has dementia of the Alzheimer's type (アルツハイマー型認知症) and lives in a long-term care welfare facility for the elderly (介護老人福祉施設). She has a baby doll and talks to it, calling it 'Hana-chan.' At lunchtime, when the care worker (介護福祉職) visits her room, Ms. A looks worried and shouts loudly, 'Hana-chan is gone! Where did you take her? Give her back!' The doll is on top of Ms. A's locker. As the care worker's first words to Ms. A, choose the most appropriate one.
- 'Do you think I took her?'
- 'Did you forget where you put her?'
- 'You must be worried. Shall we look for her together?'
- 'Why don't we look for her after you eat lunch?'
- 'Can't you see she's on top of the locker?'
Show answer and explanation
Answer: 3
Why 3 is correct
Ms. A is worried because she thinks her doll 'Hana-chan' is gone. Choice 3 first accepts this worried feeling and then invites her to look for the doll together, so Ms. A can feel at ease.
Why 1 is wrong
'Do you think I took her?' protects the care worker (介護福祉職) but blames Ms. A. The care worker should first show care for Ms. A's worried feelings.
Why 2 is wrong
'Did you forget where you put her?' points out something Ms. A cannot do anymore, and this can make her lose confidence. The care worker should not blame her for forgetting, and should look for the doll together with her.
Why 4 is wrong
If the care worker suggests eating first, Ms. A's worry stays, and she cannot eat calmly. The care worker should first accept her worry, and then invite her to eat.
Why 5 is wrong
'Can't you see she's on top of the locker?' blames Ms. A, and this makes her more worried. Even if the care worker knows where the doll is, they should look for it together so Ms. A can find it herself.
Key point
First accept the worry of a person with dementia, then invite her to look together.
Key terms
- アルツハイマー型認知症
- The most common type of dementia (認知症). It usually starts with not being able to remember new things.
- 介護老人福祉施設
- Long-term care welfare facility for the elderly: another name for a special nursing home for the elderly (特別養護老人ホーム). A facility where people who need care at all times live.
- 居室
- The room where a user sleeps and lives in a facility.
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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.