FIM test | Quiz

Question 1 of 25

1

Bella requires occasional assistance from a helper to hand her a cup during meals, but requires no additional assistance. What is Bella's FIM rating for Eating?

Select one of the following:

Level 6, Modified Independence
Level 5, Supervision/Setup
Level 4, Minimal Assistance
Level 3, Moderate Assistance

Explanation

Question 2 of 25

1

Benjamin eats three meals during the day but requires a nurse to administer IV fluids to maintain adequate hydration. Benjamin's FIM rating for Eating is Level 7, Complete Independence.

Select one of the following:

True
False

Explanation

Question 3 of 25

1

If a patient requires a bedpan put within reach and a helper empties it after the patient has a bowel movement. What is the FIM rating for Bowel?

Select one of the following:

Level 5, Supervision/Set Up
Level 3, Moderate Assistance
Level 6, Modified Independence
Level 4, Minimal Assistance

Explanation

Question 4 of 25

1

Level 5, Supervision/Set Up

Select one or more of the following:

Requires device, more time, safety precautions, applies prosthesis to complete upper body dressing.
Requires supervision, cueing, set up (cutting food, opening containers, or help applying prosthetic, help with set up of tube feed).
Dresses in inappropriate clothing
Household exceptions: Locomotion Stairs

Explanation

Question 5 of 25

1

Total assist - patient expands less than 25% of the effort

Select one of the following:

Level 1
Level 4
Level 2
Level 3

Explanation

Question 6 of 25

1

Minimal assist, patient requires no more help than touching and expends 75% or more of the effort

Select one of the following:

Level 3
Level 2
Level 4
Level 5

Explanation

Question 7 of 25

1

Activity does not occur - patient does not perform the activity and a helper does not perform, Level 6

Select one of the following:

True
False

Explanation

Question 8 of 25

1

Frank is a bilateral BKA, he is able to bathe his chest, both arms, abdomen, peri area and upper legs but requires a helper to wash his buttocks. What is Frank's FIM rating for Bathing?

Select one of the following:

Level 5, Supervision/Set Up
Level 4, Minimal Assistance
Level 3, Moderate Assistance
Level 7, Complete Independence

Explanation

Question 9 of 25

1

Florence can ambulate 60 feet with a rolling walker independently. She is able to propel a wheelchair 120 feet with supervision. Her expected mode of locomotion at discharge is walk. Florence's FIM rating for Locomotion: Walk/Wheelchair is Level 1.

Select one of the following:

True
False

Explanation

Question 10 of 25

1

Lyzette has a brain tumor and has difficulty recognizing staff members but recalls her family members. She does not remember simple instructions and will not initiate tasks with reminders from staff. She requires prompting more than 80% of the time. What is Lyzette's FIM rating for Memory?

Select one of the following:

Level 6, Modified Independence
Level 4, Minimal Assistance
Level 2, Maximal Assistance
Level 1, Total Assistance

Explanation

Question 11 of 25

1

Jim suffers from dysphagia and had a PEG tube placed. He is now administering his own tube feeds and requires only occasional cues from a helper. What is Jim's FIM rating for Eating?

Select one of the following:

Level 1, Total Assistance
Level 4, Minimal Assistance
Level 5, Supervision/Set Up
Level 6, Modified Independence

Explanation

Question 12 of 25

1

Laura sits on a shower chair while bathing. She washes, rinses and dries her chest and abdomen only. A helper washes, rinses and dries the rest of Laura's body. Laura's FIM rating for bathing is a Level 2, Maximal Assistance.

Select one of the following:

True
False

Explanation

Question 13 of 25

1

Stephen uses the toilet to void during the day but at night uses the urinal, which the staff empties. Two days ago Stephen had a bladder accident and a helper had to change Stephen's clothing. What is Stephen's FIM rating for Bladder Management?

Select one of the following:

Level 1, Total Assistance
Level 3, Moderate Assistance
Level 5, Supervision
Level 6, Modified Independence.

Explanation

Question 14 of 25

1

Jake walked 185 feet with a large based quad cane and contact guard assistance during his morning therapy session. In the afternoon, Jake ambulated 85 feet with a large based quad cane and contact guard assistance. What is Jake's FIM rating for Locomotion: Walk/Wheelchair?

Select one of the following:

Level 5, Supervision
Level 4, Minimal Assistance
Level 3, Moderate Assistance
Level 2, Maximal Assistance

Explanation

Question 15 of 25

1

Josie is able to navigate six, six inch stairs with moderate assistance from one therapist with another therapist standing by. Josie's FIM rating for stairs is a Level 3, Moderate Assistance.

Select one of the following:

True
False

Explanation

Question 16 of 25

1

Admission FIM scores should reflect the highest functional status during the first 3 days across three 24 hour periods.

Select one of the following:

True
False

Explanation

Question 17 of 25

1

Margaret transfers out of bed without assistance, but a helper lifts her right leg when Margaret transfers back into bed. What is Margaret’s FIM rating for Transfers: Bed, Chair, Wheelchair?

Select one of the following:

Level 5, Supervision/Set Up
Level 4, Minimal Assistance
Level 3, Moderate Assistance
Level 2, Maximal Assistance

Explanation

Question 18 of 25

1

Ed propels his wheelchair to the bathroom, where he uses a sliding board to transfer from his wheelchair to his raised toilet seat as a helper supervises him for safety. Ed’s FIM rating for Transfers: Toilet is a Level 4, Minimal Assistance.

Select one of the following:

True
False

Explanation

Question 19 of 25

1

Brooke needs minimal assistance to transfer onto a shower chair on wheels while in her room. A helper pushes her into the shower so Brooke can bathe. After her shower, Brooke transfers to her wheelchair with minimal assistance back in her room. What is Brooke’s FIM rating for Transfers: Tub, Shower?

Select one of the following:

Level 4, Minimal Assistance
Level 3, Moderate Assistance
Level 2, Maximal Assistance
Level 1, Total Assistance

Explanation

Question 20 of 25

1

Stanley wears glasses but does not always remember to wear them. He understands abstract ideas and basic daily activities without difficulty. His usual mode of comprehension is auditory.

Select one of the following:

Level 7, Complete Independence
Level 6, Modified Independence
Level 5, Supervision/Set Up
Level 4, Minimal Assistance

Explanation

Question 21 of 25

1

John expresses ideas about current events, religion and relationships with staff, friends and family clearly and without difficulty. John's FIM rating for Expression is Level 7, Complete Independence.

Select one of the following:

True
False

Explanation

Question 22 of 25

1

A bowel or bladder accident only occurs if the patient soils their brief.

Select one of the following:

True
False

Explanation

Question 23 of 25

1

If a patient is taking medications as an intervention for behavior…. (antidepressants, anti-anxiety medications). you can not rate them higher than a Level 6, Modified Independence for Social Interaction?

Select one of the following:

True
False

Explanation

Question 24 of 25

1

What is considered when assessing TOILET TRANSFERS?

Select one of the following:

Getting on & off standard toilet/bedside commode (grab bars, wheelchair arms and walkers are assistive devices)
Includes all aspects of getting from lying position in bed, up to chair or in a standing position, then back to lying position in bed (bed rails, walkers and wheelchairs are considered assistive devices)
Includes getting into and out of the shower or bath tub (pt should be in the process of bathing in tub or shower, simulations do not count)
Patient moves up and down stairs, full flight 12-14 stairs, indoors, and in a safe manner

Explanation

Question 25 of 25

1

2 or more helpers automatic level

Select one of the following:

Level 0
Level 1, Total Assistance
Level 2, Maximal Assistance
Level 3, Moderate Assistance

	Created by darcyp about 9 years ago