The MOCA is scored up to 30 points with 26 being a ‘normal’ score. My assumption is he’s talking about achieving that score is difficult, not getting that many questions correct.

Source : Someone else posted the test in this thread and it’s at the top in the scoring instructions

I mean, a lot of roleplayers don’t… It’s definitely pathetic, but like of all the reasons it is, not responding in first person is a weird one to single out XD

Just my two cents of course

Edit : And actually looking back at the picture, the prompter themselves even describes their action as [He] takes her hand, not [I] take your hand, so it makes even more sense for the AI to be doing the same.