Therapist Assistants 6th Edition Wendy D. Bircher
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,Chapter 1. The World Health Organization and the International Classification of Functioning,
Disability and Health
Multiple Choice
1. What organization is responsible for the development of the International Classification of
Functioning, Disability and Health (ICF) framework for coding functional abilities in
rehabilitation?
A. United Nations (UN)
B. World Health Organization (WHO)
C. United States
D. United Nations Children’s Fund (UNICEF)
ANS: B
Rationale: WHO is responsible for the development of the ICF framework to be used in
conjunction with the ICD-10-CM coding system for disease and diagnosis.
2. What is the difference between the ICF framework and the ICD-10-CM coding system?
A. The ICF framework is responsible for coding diseases, whereas the ICD-10-CM coding
system codes a medical diagnosis.
B. The ICD-10-CM coding system codes diseases, whereas the ICF framework codes a medical
diagnosis.
C. The ICF framework is responsible for coding functional abilities, whereas the ICD-10-CM
coding system codes diseases.
D. The ICF framework and the ICD-10-CM coding system both code diseases and a medical
diagnosis.
ANS: C
Rationale: The ICF framework is used to code functional abilities in conjunction with the ICD-
10-CM framework, which is used to code diseases or a medical diagnosis.
3. The ICD-10-CM coding system and the ICF framework are part of a broader system known as
the Family of International Classifications. Which classification system is responsible for the
parameters related to the ICD-10-CM coding system and the ICF framework?
A. Reference classifications
B. Derived classifications
C. Related classifications
D. Functional classifications
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,ANS: A
Rationale: Reference classifications are those responsible for the ICD-10-CM and the ICF
framework. They cover those parameters related to health issues affecting a person’s ability to
function. Derived classifications include more specialized classifications of diseases or disorders
(ICF-CY), and related classifications include aspects of health not commonly addressed or
related to specific diseases or disorders. Functional classifications are not part of this system.
4. The ICF framework is important for multiple reasons. Identify the reason that signifies its
importance in the care of patients in rehabilitation.
A. It is used only in the United States to determine how function is affected by a patient’s disease
process.
B. It is used in conjunction with the Health Insurance Portability and Accountability Act
(HIPAA) to protect patient confidentiality.
C. It is used to determine how a patient’s disease can affect his or her ability to function.
D. It is used to provide foreign countries with the ability to evaluate a patient’s disease or
diagnosis.
ANS: C
Rationale: The ICF framework was developed as a worldwide classification system, in
conjunction with the ICD-10-CM framework, to determine how a patient’s function is affected
by his or her disease or diagnosis.
5. What organization endorsed the use of the ICF framework in its publications in 2010?
A. HIPAA
B. Immigration and Customs Enforcement (ICE)
C. WHO
D. The American Physical Therapy Association (APTA)
ANS: D
Rationale: The APTA unanimously voted to endorse the use of the ICF framework in the House
of Delegates in 2010. Preparations are being made to convert all publications using this material
over the next year.
6. The ICF framework was developed from two key components. Identify the correct
components.
A. Functioning and disability, and contextual factors
B. Disability and disease, and functional factors
C. Functioning, and disease and environmental factors
D. Contextual, and disability and disease factors
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,ANS: A
Rationale: The ICF framework was developed from two main components: functioning and
disability, and contextual factors.
7. Which component includes environmental factors within the ICF?
A. Functional factors
B. Disabilities
C. Disease factors
D. Contextual factors
ANS: D
Rationale: Environmental factors are included within the component of contextual factors.
Functional abilities include the other three domains of body structures, body functions, and
activities and participation.
8. The ICF framework is divided into four domains, which can then be used to identify the
impact on a patient’s disease process or disability on his/her function. Choose the correct
domain that can be identified using the letter b.
A. Environmental factors
B. Body structure
C. Body function
D. Activities and participation
ANS: C
Rationale: Body function is the domain represented by the letter b in the ICF framework. Body
structure is represented by the letter s, activities and participation by the letter d, and
environmental factors by the letter e.
9. The letter d is used to denote a specific domain in the ICF framework. Identify the correct
domain that uses this specific letter for identification.
A. Body structure
B. Body function
C. Activities and participation
D. Environmental factors
ANS: C
Rationale: The letter d is used to identify those factors that include activities and participation
related to the patient’s ability to function depending on how the disease process or disability
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,affects this function. Body function is represented by the letter b, body structure is represented
by the letter s, and environmental factors by the letter e.
10. When was the ICD-10-CM coding system implemented in the United States?
A. January 1, 2015
B. March 1, 2015
C. July 1, 2015
D. October 1, 2015
ANS: D
Rationale: The ICD-10-CM was implemented in the United States on October 1, 2015. The
United States was the last country to implement the ICD-10-CM.
11. Which organization is considered the authority for health-care issues within the UN system
and for those issues related to global health?
A. United Nations
B. WHO
C. American Medical Association (AMA)
D. World Medical Association (WMA)
ANS: B
Rationale: WHO is considered the authority on issues related to health care within the UN and
for global health matters. WHO is responsible for the development of a universal language
related to patient care.
12. When was the APTA’s Guide to Physical Therapist Practice last revised?
A. 2012
B. 2013
C. 2014
D. 2015
ANS: C
Rationale: The last revision of the Guide to Physical Therapist Practice was published in 2014
and was transitioned from a textbook format to one that is online.
13. Which would best fit in the body structure category?
A. Domestic life
B. Technology
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,C. Self-care
D. Nervous system
ANS: D
Rationale: The nervous system is part of the body structure category, whereas domestic life and
self-care are part of the activities and participation category, and technology is part of the
environmental category.
14. Which would best fit in the body function category?
A. Walking across the room
B. Weakness in the triceps muscle
C. Difficulty using a walker in the house
D. Inability to get into and out of the bath
ANS: B
Rationale: Weakness in the triceps muscle best fits in the body function category, whereas
walking across the room, difficulty using a walker in the house, and inability to get into and out
of the bath are all part of the activities and participation category.
15. Which would best fit in the environmental category?
A. The patient’s relationship with his mother
B. Tightness in the hamstrings
C. Radiating pain down the leg
D. Deficits with speech
ANS: A
Rationale: The patient’s relationship with his mother would fall within the environmental
category, whereas tightness in the hamstrings, radiating pain down the leg, and deficits with
speech would all fit within the body structure category.
16. Which would best fit in the activities and participation category?
A. Technology
B. Muscle spasms
C. Depression
D. Ability to learn the home exercise program
ANS: D
Rationale: The ability to learn the home exercise program would best fit in the activities and
participation category, whereas technology would best fit within the environmental category.
Muscle spasms would best fit within the body structure category, and depression would best fit
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,within the body function category.
17. Which would fit within the body function category?
A. House cleaning
B. Circulatory system
C. Positive attitude
D. Self-care
ANS: C
Rationale: A positive attitude would best fit within the body function category, whereas
housecleaning and self-care would best fit within the activities and participation category, and
the circulatory system would best fit within the body structure category.
18. Which would best fit within the body structure category?
A. Using a walker to get around the house
B. Difficulty following instructions
C. Tightness in the cervical muscles
D. Difficulty judging step height
ANS: C
Rationale: Tightness in the cervical muscles would best fit within the body structure category,
whereas using a walker to get around the house would best fit within the activities and
participation category. Difficulty following instructions and judging step height would best fit
within the body function category.
Multiple Response
19. Why was it necessary to transition from the ICD-9 to the ICD-10-CM coding system?
A. The ICD-10-CM coding system provides increased specificity for diagnosis in treatment.
B. The ICD-10-CM coding system provides more input from medical providers for improved
billing.
C. The ICD-10-CM coding system provides the ability to identify additional conditions related to
patient care.
D. The ICD-10-CM coding system provides the medical provider the ability to identify activities
and environmental factors related to the patient’s diagnosis.
ANS: A, B, C, & D
Rationale: All of these are reasons to transition from the ICD-9 to the ICD-10-CM system. Along
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,with increased specificity for the diagnosis of the patient’s problems, the ICD-10-CM coding
system also provides identification of additional conditions that might affect the patient’s
functional outcome and activities and environmental situations that were related to the deficit in
function.
20. Which would best fit within the body structure category?
A. Scars on the skin
B. Brain tissue
C. Fractured left femur
D. Eyes and ears
ANS: A, B, C, & D
Rationale: All of the listed activities best fit within the body structure category.
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, Chapter 2. Demystifying the ICD-10-CM Coding System
Multiple Choice
1. What are the components of the International Classification of Functioning, Disability, and
Health (ICF)?
A. Body structure, activities and participation, and personal factors
B. Body structure and function, activities and participation, and environmental factors
C. Body function, activities and participation, personal, and environmental factors
D. Body function and structure, personal and environmental factors
ANS: B
Rationale: The components of the ICF are body structure and function, activities and
participation, and environmental factors.
2. When was the ICD-10-CM coding system implemented in the United States?
A. July 1, 2015
B. September 1, 2015
C. October 1, 2015
D. October 21, 2015
ANS: C
Rationale: The ICD-10-CM coding system was implemented on October 1, 2015.
3. What year did most other countries implement the ICD-10-CM coding system?
A. 2014
B. 2012
C. 2010
D. 2008
ANS: D
Rationale: Most other countries had implemented the ICD-10-CM coding system by 2008, and it
took the United States another 7 years to follow suit.
4. What was the main reason for the transition from the ICD-9 coding system to the ICD-10-CM
coding system?
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