Exam 38 · 第38回 · 認知症の理解 (Understanding Dementia)
Question 89 問89
Ａさん（75歳，男性）は，認知症（dementia）で，通所介護（デイサービス）を利用している。介護福祉職が，「今日は何月何日でしょうか」と聞くと，Ａさんは，「9月」と答えた。介護福祉職が，「今朝，Ａさんの家の庭にあじさいが咲いていましたね」と言うと，Ｂさんが，「あじさいが咲くのは6月？」と答えた。介護福祉職は，「そうです。今日は6月22日です」と言い，ホワイトボードに日付とあじさいの絵を描いた。介護福祉職が，「6月生まれの方はいますか」と聞くが，返事がない。介護福祉職は，「今日は6月22日ですが，あと3日でＡさんの誕生日ですね」と伝えた。次のうち，介護福祉職が実施した技法として，適切なものを1つ選びなさい。
- タッチケア（touch care）
- アートセラピー（art therapy）
- リアリティ・オリエンテーション（reality orientation）
- ライフレビュー（life review）
- グリーフケア（grief care）
Translation
Mr. A (75 years old, male) has dementia (認知症) and uses a day service (通所介護／デイサービス). A care worker asks, 'What is today's date?' Mr. A answers, 'September.' The care worker says, 'This morning, hydrangeas were blooming in Mr. A's garden.' B answers, 'Don't hydrangeas bloom in June?' The care worker says, 'That's right. Today is June 22,' and draws the date and a picture of a hydrangea on the whiteboard. The care worker asks, 'Is anyone here born in June?' but no one answers. The care worker says, 'Today is June 22, so Mr. A's birthday is in 3 days.' Which of the following is the technique the care worker used? Choose the appropriate one.
- Touch care (タッチケア)
- Art therapy (アートセラピー)
- Reality orientation (リアリティ・オリエンテーション)
- Life review (ライフレビュー)
- Grief care (グリーフケア)
Show answer and explanation
Answer: 3
Why 3 is correct
Reality orientation (リアリティ・オリエンテーション) is a method of repeatedly sharing the date, season, place, and similar information through conversation or signs, to help a person understand reality. The care worker shared the date while talking about the season's flowers and the birthday, and also wrote it on the whiteboard, so answer 3 is correct.
Why 1 is wrong
Touch care (タッチケア) is a method of gently touching the body to give a sense of comfort. In this scene, there is no physical touch involved.
Why 2 is wrong
Art therapy (アートセラピー) is a therapy where a person expresses their feelings through art activities like drawing. Here, the care worker drew the picture only to communicate the date and season.
Why 4 is wrong
Life review (ライフレビュー) is a method of looking back on your own life and thinking about its meaning. In this scene, there is no talk of looking back on the past.
Why 5 is wrong
Grief care (グリーフケア) is care that supports the sadness of someone who has lost a person important to them. This is not related to this scene.
Key point
Reality orientation (リアリティ・オリエンテーション) repeatedly tells the date and place to help a person grasp reality.
Key terms
- リアリティ・オリエンテーション
- A method of repeatedly sharing the date, place, and similar information to help a person understand reality.
- ライフレビュー
- A method of looking back on your own life and thinking about its meaning.
- グリーフケア
- Care that supports the sadness of someone who has lost an important person.
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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.