Ra 1st Qtr FIM Quiz 2014
Accurate communication about what FIM category you observe or assist with is fundamental to insuring accurate FIM scores. Know the definitions.
Questions and Answers
- 1.
Patient uses the call light for help. She needs your assistance getting out of bed to walk to sink or bathroom and she also needs your assistance getting back into bed. What FIM activity are you observing?
- A.
Toilet Transfer
- B.
Bladder Management
- C.
Bed/Chair/Wheelchair Transfer
- D.
No FIM activity was observed.
Correct Answer
C. Bed/Chair/Wheelchair TransferExplanation
The correct answer is Bed/Chair/Wheelchair Transfer because the patient requires assistance in getting out of bed and back into bed. This activity involves transferring the patient from one surface (bed) to another (chair or wheelchair).Rate this question:
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- 2.
Mrs. P has urgency and will need to use the bedpan. When she notifies you that she needs to void, the RA assists the patient by pulling down Mrs. P's pants and provides touching assistance to position her on the bedpan. After voiding, Mrs. P cleanses herself and pulls her pants back up while the RA empties the bedpan. You've assisted with both Toileting and Bladder Management.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The given explanation is that the scenario described involves assisting Mrs. P with both toileting and bladder management. The RA helps Mrs. P by pulling down her pants and positioning her on the bedpan, which is a form of toileting assistance. Additionally, the RA assists with bladder management by emptying the bedpan after Mrs. P has finished voiding. Therefore, the statement that the individual has assisted with both toileting and bladder management is true.Rate this question:
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- 3.
Definition of Toileting; True or False? Only the adjustment of clothing before and after using toilet/bedpan/urinal/commode.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because the definition of toileting includes more than just the adjustment of clothing before and after using the toilet/bedpan/urinal/commode. Toileting also involves the act of using the toilet or similar facilities for bodily functions, such as urinating or defecating.Rate this question:
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- 4.
True or False? Bladder Management includes complete and intentional control of urinary bladder, and if necessary, use of equipment and/or agents for bladder control. When the patient uses the toilet and does not need medication to control sphincter, nor requires reminders to void, the FIM score is a 7 or Independent
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Bladder management refers to the ability to control the urinary bladder and the use of equipment or agents if needed. When a patient is able to use the toilet without the need for medication to control the sphincter or reminders to void, they are considered independent in bladder management. Therefore, the statement is true.Rate this question:
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- 5.
True or False? Toilet Transfer includes getting on and off the toilet. It does not include getting on and off a commode.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because toilet transfer does include getting on and off a commode. A commode is a portable chair with a hole in the seat and a container beneath it to collect waste. Therefore, the process of transferring from a commode is still considered a part of toilet transfer.Rate this question:
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- 6.
The helper provides more than 50% of assistance with undressing lower body. What is the FIM score?
- A.
Max Assist or 2
- B.
Independent or 7
- C.
Mod Assist or 3
- D.
Activity did not occur
Correct Answer
A. Max Assist or 2Explanation
The FIM score is a measure of a person's level of independence in performing activities of daily living. In this case, if the helper provides more than 50% of assistance with undressing the lower body, it indicates that the person requires maximum assistance or a score of 2 on the FIM scale.Rate this question:
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- 7.
True or False? If a patient needs your assistance applying their TED stockings and yet can complete all other lower body dressing tasks without your assistance, the FIM score would be Supervision/Set up or 5.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
If a patient is able to complete all other lower body dressing tasks without assistance, but still needs assistance applying their TED stockings, it indicates that they require supervision or set up for this specific task. This would result in a FIM score of 5, which signifies that the patient requires supervision or set up from another person to safely and effectively perform the task.Rate this question:
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- 8.
True or False? Based on the SCC FIM policy filed in Meditech and in The FIM Guides, it is not required that the RA and the RN sit together at the computer to document what the RA observed or assisted with during the shift.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The correct answer is False. According to the SCC FIM policy filed in Meditech and in The FIM Guides, it is required that the RA and the RN sit together at the computer to document what the RA observed or assisted with during the shift.Rate this question:
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- 9.
True or False The definition of a bladder accident is when linens and/or clothing is soiled. That would include when you're removing the urinal and spill it's contents accidentally, requiring a change of sheets/clothing.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because a bladder accident refers specifically to the involuntary release of urine, not the spilling of a urinal. Soiling of linens and clothing due to the accidental spillage of a urinal would not be considered a bladder accident.Rate this question:
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- 10.
Regardless of the task, if the patient requires contact guard or steadying assistance for balance, to complete a task, the FIM score would be.....
- A.
4 or Min Assist
- B.
6 or Mod I
- C.
3 or Mod Assist
- D.
1 or Total Assist
Correct Answer
A. 4 or Min AssistExplanation
If a patient requires contact guard or steadying assistance for balance to complete a task, the FIM score would be 4 or Min Assist. This means that the patient requires minimal assistance from another person to complete the task safely. The patient may need someone to provide support or stand close by to prevent falls or help with balance, but they are able to perform most of the task independently.Rate this question:
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- 11.
True or False? The rehab term "max assist of 2" is a FIM score of 1 or Total Assist, not a 2 or Max Assist.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because "max assist of 2" refers to a FIM score of 1 or Total Assist, not a score of 2 or Max Assist. This means that the patient requires maximum assistance, indicating that they are unable to perform the task independently and require complete assistance from a caregiver or therapist.Rate this question:
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- 12.
True or False? When you have a FIM patient during your shift, hold off for just a few moments before assisting with the task. This will allow you to get a sense of what the patient can do for themselves to better reflect the level of assistance needed. Give the patient the chance to demonstrate their efforts first. If the patient is not able to complete a task, then assist and document the level of assistance needed.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
By holding off for a few moments before assisting a FIM patient with a task, it allows the healthcare provider to observe and assess the patient's abilities. This helps in determining the appropriate level of assistance needed. Giving the patient a chance to demonstrate their efforts first can promote independence and self-confidence. If the patient is unable to complete the task, then the healthcare provider can step in to assist and document the level of assistance required. Therefore, the statement is true.Rate this question:
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Current Version
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Mar 17, 2023Quiz Edited by
ProProfs Editorial Team -
Jan 29, 2014Quiz Created by
Rhciquiz
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