Exam 38 · 第38回 · 認知症の理解 (Understanding Dementia)
Question 88 問88
次の記述のうち，認知症（dementia）の人の遂行機能障害の症状として，最も適切なものを1つ選びなさい。
- ご飯を食べたことを忘れて，ご飯をほしいと言う。
- 包丁の使い方を忘れて，うまく使うことができない。
- 食事が配膳されているが，左側のものを残す。
- 調理の手順を順序だてて行うことができない。
- 皿の模様をおかずと間違えて，スプーンですくおうとする。
Translation
Which of the following is a symptom of executive function disorder (遂行機能障害) in a person with dementia (認知症)? Choose the most appropriate one.
- Forgetting that they already ate and asking for food.
- Forgetting how to use a kitchen knife and being unable to use it well.
- Leaving the food on the left side untouched, even though the meal has been served.
- Being unable to carry out cooking steps in the correct order.
- Mistaking the pattern on a plate for food and trying to scoop it up with a spoon.
Show answer and explanation
Answer: 4
Why 4 is correct
Executive function disorder (遂行機能障害) is being unable to make a plan and carry out steps in the right order. Being unable to carry out cooking steps in order is an example of this, so answer 4 is correct.
Why 1 is wrong
Forgetting that you ate at all is memory disorder (記憶障害), not executive function disorder.
Why 2 is wrong
Being unable to use a tool correctly, even though the hands and body can move, is apraxia (失行), not executive function disorder.
Why 3 is wrong
Not noticing and leaving food on one side is hemispatial neglect (半側空間無視), not executive function disorder.
Why 5 is wrong
Being unable to correctly recognize what you see, even though your eyes can see it, is agnosia (失認), not executive function disorder.
Key point
Executive function disorder (遂行機能障害) means being unable to plan and carry out steps in order.
Key terms
- 遂行機能障害
- Being unable to make a plan and carry out things in the correct order.
- 手順
- The order in which to do something.
- 配膳
- Serving meals: placing food on the table for a meal.
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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.