37th Exam (Jan 2025) Morning Q49 Kaigo Fukushishi
Question (original Japanese)
次のうち、ＩＣＦ（International Classification of Functioning, Disability and Health：国際生活機能分類）の社会（人生）レベルに該当するものとして、正しいものを1つ選びなさい。
- 1心身機能・身体構造
- 2活動
- 3参加
- 4機能障害
- 5活動制限
Show answer
Correct answer 3
Key pointIn the ICF, participation is the social (life) level and activity is the individual (daily living) level.
Explanation
Functioning in the ICF is divided into three levels: participation is the social (life) level, activity is the individual (daily living) level, and body functions and structures are the biological (life) level. So 3 is correct.
- 1: Body functions and structures are the biological (life) level, so it is wrong.
- 2: Activity is the individual (daily living) level, so it is wrong.
- 4: Impairment is a state in which a problem has occurred in body functions or structures, so it is wrong.
- 5: Activity limitation is a state in which there are difficulties in activity, so it is wrong. Difficulties at the social level are called participation restriction (参加制約).
Explanation in Japanese
ICFの生活機能は3つのレベルに分けられ、参加は社会（人生）レベル、活動は個人（生活）レベル、心身機能・身体構造は生物（生命）レベルなので3が正しい。
- 1：心身機能・身体構造は生物（生命）レベルなので誤り。
- 2：活動は個人（生活）レベルなので誤り。
- 4：機能障害は、心身機能・身体構造に問題が生じた状態なので誤り。
- 5：活動制限は、活動に困難が生じた状態なので誤り。社会レベルの困難は参加制約という。