Exam 38 · 第38回 · 認知症の理解 (Understanding Dementia)
Question 83 問83
次の記述のうち，認知症（dementia）の行動・心理症状（ＢＰＳＤ）に該当するものとして，最も適切なものを1つ選びなさい。
- 10分前に施設職員が挨拶しに来たことを，覚えていない。
- 病院にいるのに，自宅にいると思っている。
- 通所介護（デイサービス）を利用中に，出口を探して歩き回る。
- 薬を処方されても，服薬管理ができない。
- 入浴を促すと，湯につかるだけで出てくる。
Translation
Which of the following is an example of behavioral and psychological symptoms of dementia (行動・心理症状／BPSD)? Choose the most appropriate one.
- Not remembering that a staff member greeted them 10 minutes ago.
- Believing they are at home when they are actually in the hospital.
- Walking around looking for the exit while using a day service (通所介護／デイサービス).
- Being unable to manage taking medicine even when it is prescribed.
- When encouraged to bathe, only soaking in the water and then getting out.
Show answer and explanation
Answer: 3
Why 3 is correct
Walking around looking for the exit while at a day service is behavior caused by anxiety and other feelings. This is a behavioral and psychological symptom (BPSD), so answer 3 is correct.
Why 1 is wrong
Not remembering something from a short time ago is a memory disorder (記憶障害). A memory disorder is a core symptom (中核症状), not BPSD.
Why 2 is wrong
Not knowing where you currently are is disorientation (見当識障害). This is a core symptom, not BPSD.
Why 4 is wrong
Being unable to manage medicine is caused by memory disorder or executive function disorder (遂行機能障害). This is a core symptom.
Why 5 is wrong
Not knowing the steps of bathing, such as washing the body, and only soaking in the water before getting out, is caused by a core symptom such as executive function disorder.
Key point
Walking around looking for the exit, driven by anxiety, is BPSD (行動・心理症状).
Key terms
- 行動・心理症状
- Behaviors and mental symptoms that appear when core symptoms combine with a person's anxiety or their surroundings. Also called BPSD.
- 通所介護
- A service where a person goes to a facility during the day for bathing, meals, and rehabilitation. Also called a day service.
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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.