70 歲病人的哪項評估發現需要進一步檢查以釐清是否為失智症？
Which assessment finding in a 70-year-old client requires further investigation for possible dementia?
- AOccasional forgetting of where keys were placed偶爾忘記鑰匙放在哪裡
- BDifficulty performing complex tasks like balancing a checkbook✓ 正解難以執行複雜任務，如結算支票簿
- CIncreased interest in new hobbies對新嗜好產生興趣
- DSlower word retrieval during conversation對話時找詞變慢
認知功能的正常老化與失智症（Dementia）有顯著差異。偶發的健忘或語言提取稍慢屬於正常老化過程。然而，執行功能（Executive Function）受損，如無法處理財務、規劃日常事務或使用家電，是失智症的早期臨床警訊。這類功能障礙顯示認知能力已下降至影響日常生活，需進一步進行評估，如 MMSE 或 MoCA 量表。
Normal cognitive aging differs significantly from dementia. Occasional forgetfulness or mildly slower word retrieval is part of normal aging. However, impaired executive function, such as the inability to manage finances, plan daily affairs, or operate household appliances, is an early clinical warning sign of dementia. Such functional impairment indicates that cognitive ability has declined to the point of affecting daily living and requires further evaluation, such as the MMSE or MoCA.