Kaigo Fukushishi 介護福祉士

Exam 38 · 第38回 · 認知症の理解 (Understanding Dementia)

Question 86 問86

次つぎのうち,認知症にんちしょう(dementia)の人ひとの生活せいかつをアセスメントするうえで,身しん体的要因たいてきよういんに含ふくまれる項目こうもくとして,適切てきせつなものを1つ選えらびなさい。

  1. 性格せいかく
  2. 居住環境きょじゅうかんきょう
  3. 人的環境じんてきかんきょう
  4. IADL(Instrumental Activities of Daily Living:手段的日常生活動作しゅだんてきにちじょうせいかつどうさ)
  5. 社会しゃかいとのつながり

Translation

Which of the following items is included under physical factors when making an assessment (アセスメント) of the daily life of a person with dementia (認知症)? Choose the appropriate one.

  1. Personality
  2. Living environment
  3. Environment of people around them
  4. IADL (Instrumental Activities of Daily Living)
  5. Connection with society
Show answer and explanation

Answer: 4

Why 4 is correct

IADL (Instrumental Activities of Daily Living) means the actions needed for daily life, such as shopping, cooking, and managing money. Like ADL, it looks at what a person can physically do, so it is included under physical factors. So answer 4 is correct.

Why 1 is wrong

Personality is included under psychological factors, not physical factors.

Why 2 is wrong

Living environment means physical surroundings such as the size of the home or steps in the floor. It is included under environmental factors, not physical factors.

Why 3 is wrong

Environment of people around them means relationships with people such as family and staff. It is included under environmental factors, not physical factors.

Why 5 is wrong

Connection with society means relationships with the local community and friends. It is included under social factors, not physical factors.

Key point

IADL (手段的日常生活動作) covers shopping, cooking and money management, and counts as a physical factor like ADL.

Key terms

身体的要因しんたいてきよういん
Factors related to the body, such as illness, physical function, and daily actions.
手段的日常生活動作しゅだんてきにちじょうせいかつどうさ
Life actions that are more complex than ADL, such as shopping, cooking, and managing money. Also called IADL.
居住環境きょじゅうかんきょう
The condition of the house or room a person lives in.
人的環境じんてきかんきょう
The relationships with the people around a person, such as family and care staff.
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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.