RN 1st Qtr 2014 FIM Quiz
Know the definitions for all FIM categories before you score.
The definitions are fundamental to accuracy of the scoring.
Questions and Answers
- 1.
EATING Mr. J has no trouble feeding himself, or swallowing food or liquid. He needs a low sodium/renal diet. He has no problems coughing. He has no fluid or nutritional deficits. He requires dentures to eat. What is the FIM score?
- A.
6 - Mod I
- B.
7 - Independent
- C.
5 - Supervision/Set up
- D.
1 - Dependent/Total Assist
Correct Answer
A. 6 - Mod IExplanation
Based on the given information, Mr. J is able to feed himself and swallow food or liquid without any trouble. However, he requires dentures to eat, which indicates that he needs some assistance or modification (Mod I) in order to eat properly. Therefore, the FIM score for Mr. J would be 6 - Mod I.Rate this question:
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- 2.
GROOMING Mr. J is able to wash his face and hands, brush his teeth and comb his hair. He requires encouragement to do this by staff and family members. What is the FIM score?
- A.
4 or Min Assist
- B.
3 or Mod Assist
- C.
2 or Max Assist
- D.
5 or Supervision/Set up
Correct Answer
D. 5 or Supervision/Set upExplanation
Based on the given information, Mr. J is able to perform grooming tasks such as washing his face and hands, brushing his teeth, and combing his hair. However, he requires encouragement from staff and family members to do so. This indicates that Mr. J can perform these tasks independently with supervision or set up. Therefore, the FIM score for grooming would be 5 or Supervision/Set up.Rate this question:
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- 3.
BATHING Mr. J is only able to wash, rinse and dry both arms and chest. A staff member has to complete the remainder of the bath for him. (Think of this scenario as a math problem. There are 10 body parts in the definition of bathing. How many body parts is the patient able to wash/rinse/dry. Then calculate a percentage to reach the level of assistance needed.) What is the FIM score?
- A.
1 - Dependent/Total Assis
- B.
2 - Max Assist
- C.
5 - Supervision/Set up
- D.
6 - Mod I
Correct Answer
B. 2 - Max AssistExplanation
The patient is only able to wash, rinse, and dry both arms and chest, which means they are unable to complete the remainder of the bath on their own. Therefore, they require maximum assistance (Max Assist) from a staff member to complete the bathing process.Rate this question:
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- 4.
UPPER BODY DRESSING After he is given his undershirt, shirt and sweater, Mr. J is able to dress his upper body independently. What is the FIM score?
- A.
5 or Supervision-Set up
- B.
6 or Mod I
- C.
4 or Min Assist
- D.
7 or Independent
Correct Answer
A. 5 or Supervision-Set upExplanation
The FIM score for upper body dressing is 5 or Supervision-Set up because Mr. J is able to dress his upper body independently after being given his undershirt, shirt, and sweater. This means that he requires supervision or set-up assistance to initiate or complete the task, but he is able to perform it independently once the clothing items are provided to him.Rate this question:
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- 5.
LOWER BODY DRESSING Mr. J requires a helper for dressing his lower body. He requires a helper to thread both legs into his underwear and his pants and he needs your assistance pulling them up over his hips on his own. A helper puts his socks and shoes on, and fastens his Velcro straps on his shoes. What is the FIM score?
- A.
6 or Mod I
- B.
5 or Supervision-Set up
- C.
1 or Total Assist
- D.
2 or Max Assist
Correct Answer
C. 1 or Total AssistExplanation
The FIM score for this activity is 1 or Total Assist because Mr. J requires complete assistance from a helper to dress his lower body. The helper is responsible for threading both legs into his underwear and pants, pulling them up over his hips, putting on his socks and shoes, and fastening his Velcro straps. Mr. J is unable to perform any part of the dressing task independently and relies on the helper for total assistance.Rate this question:
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- 6.
TOILETING - A staff member needs to pull Mr. J's pants down and underwear down, prior to sitting on the toilet. Mr. J. uses toilet paper independently and is able to pull up his underwear and pants. (Toileting = 3 tasks. Think of this as a math problem. How many of the 3 tasks can the patient do without your assistance and then calculate a percentage.) What is the FIM score?
- A.
1 or Total Assist
- B.
2 or Max Assist
- C.
3 or Mod Assist
- D.
4 or Min Assist
Correct Answer
C. 3 or Mod AssistExplanation
The FIM score for toileting is 3 or Mod Assist because Mr. J is able to perform two out of the three tasks independently. He can pull up his underwear and pants on his own, but requires assistance in pulling them down prior to sitting on the toilet. Therefore, he needs moderate assistance for this activity.Rate this question:
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- 7.
True or False If you don't have to remind the patient to void but you have to stand by while the patient is using the toilet to void, and the patient does not take any medication for sphincter control, the FIM score for BLADDER MANAGEMENT would be a 7-Independent.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
If the patient does not require a reminder to void and can independently use the toilet to void without any medication for sphincter control, it indicates that the patient has full control over their bladder management. Therefore, the FIM score for BLADDER MANAGEMENT would be a 7-Independent.Rate this question:
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- 8.
BLADDER MANAGEMENT Mr. J requires hemodialysis and does not void.
- A.
Activity did not occur
- B.
7 or Independent
- C.
1 or Total Assist
- D.
3 or Mod Assist
Correct Answer
B. 7 or IndependentExplanation
The correct answer is 7 or Independent because Mr. J does not require any assistance with bladder management. This implies that he is able to manage his bladder independently without any assistance from others.Rate this question:
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- 9.
BOWEL MANAGEMENT Mr. J has had 3 small episodes of loose stool in the first 3 days of admission; requiring staff to help him re-dress and change the pad and linens on his bed. What is the FIM score?
- A.
7 or Independent
- B.
1 or Total Assist
- C.
5 or Supervision/Set up
- D.
2 or Max Assist
Correct Answer
B. 1 or Total Assist -
- 10.
TRANSFERS: Bed/Chair/Wheelchair Mr. J can do a stand pivot transfer from bed to a wheelchair, and back. He does not require any lifting assistance, only contact guard assist. What is the FIM score?
- A.
5 or Supervision/Set up
- B.
1 or Total Assist
- C.
4 or Min Assist
- D.
6 or Mod I
Correct Answer
C. 4 or Min AssistExplanation
Based on the given information, Mr. J can perform a stand pivot transfer from bed to a wheelchair and back with only contact guard assist. This means that he requires minimal assistance, as he is able to perform the transfer with some assistance but can complete most of the task independently. Therefore, the appropriate FIM score for Mr. J's transfer ability would be 4 or Min Assist.Rate this question:
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- 11.
TRANSFERS: Toilet Mr. J is able to stand pivot transfer from a wheelchair to the toilet, using grab bars and raised toilet seat. To transfer back to wheelchair, Mr. J requires more than 50% lifting assistance from the helper. What is the FIM score?
- A.
2 or Max Assist
- B.
6 or Mod I
- C.
5 or Supervision/Set up
- D.
4 or Min Assist
Correct Answer
A. 2 or Max AssistExplanation
The FIM score is determined based on the level of assistance required for a patient to perform a specific activity. In this case, Mr. J requires more than 50% lifting assistance from the helper to transfer back to the wheelchair, indicating a high level of assistance needed. According to the FIM scoring system, this level of assistance corresponds to a score of 2 or Max Assist.Rate this question:
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- 12.
COMPREHENSION Mr. J is legally blind, and requires verbal instruction instead of written. He easily understands others. What is the FIM score?
- A.
7 or Independent
- B.
5 or Supervision/Set up
- C.
3 or Mod Assist
- D.
1 or Total Assist
Correct Answer
A. 7 or IndependentExplanation
Based on the given information, Mr. J is legally blind but can easily understand others. This suggests that he is capable of performing tasks independently without any assistance or supervision. Therefore, the FIM score for Mr. J would be 7 or Independent.Rate this question:
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- 13.
EXPRESSION Mr. J is independent in expressing both complex and basic concepts to staff and his family. What is the FIM score?
- A.
5 or Supervision/Set up
- B.
2 or Max Assist
- C.
7 or Independent
- D.
6 or Mod I
Correct Answer
C. 7 or IndependentExplanation
The FIM score is a measure of a person's functional independence in performing daily activities. In this case, Mr. J is described as being independent in expressing both complex and basic concepts to staff and his family. This suggests that he has the cognitive ability and communication skills to effectively convey his thoughts and ideas without assistance. Therefore, his FIM score would be 7, indicating that he is independent in this aspect of his functioning.Rate this question:
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- 14.
SOCIAL INTERACTION Mr. J has a flat affect. His children feel that he is depressed; he was started on medication for depression about 3 weeks ago. Staff members need to encourage Mr. J to interact with others but no more than 10% of the time. What is the FIM score?
- A.
5 or Supervision
- B.
1 or Total Assist
- C.
2 or Max Assist
- D.
6 or Mod I
Correct Answer
A. 5 or SupervisionExplanation
The FIM score for Mr. J would be 5 or Supervision because he has a flat affect and his children believe he is depressed. This indicates that he may require some level of assistance or supervision in order to engage in social interaction. The staff members need to encourage him to interact with others, but no more than 10% of the time, suggesting that he may need some guidance or support during these interactions. Therefore, a score of 5 or Supervision would be appropriate.Rate this question:
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- 15.
PROBLEM SOLVING Mr. J requests that his dialysis schedule be changed back to his previous schedule when he was at home, because this allowed his daughter to provide transportation for him on her days off from work. MR. J is planning for family members to stay with him for a few weeks when he gets home, to make sure he is doing okay. He is able to solve basic problems as well. What is the FIM score?
- A.
2 or Max Assist
- B.
5 or Supervision/Set up
- C.
7 or Independent
- D.
1 or Total Assist
Correct Answer
C. 7 or IndependentExplanation
The FIM score for Mr. J is 7 or Independent because he is able to solve basic problems and is planning for family members to stay with him for a few weeks when he gets home to ensure his well-being. This indicates that he can independently manage his dialysis schedule and make necessary arrangements for transportation and support.Rate this question:
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- 16.
MEMORY Mr. J has no difficulty recognizing his family and the many friends from his church that visit almost daily. He easily follows his routine and questions medication changes that have occurred. What is the FIM score?
- A.
5 or Supervision/Set up
- B.
2 or Max Assist
- C.
7 or Independent
- D.
6 or Mod I
Correct Answer
C. 7 or IndependentExplanation
Based on the given information, Mr. J has no difficulty recognizing his family and friends, follows his routine easily, and questions medication changes. This suggests that he is able to perform daily activities independently without any assistance or supervision. Therefore, his FIM score would be 7 or Independent.Rate this question:
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- 17.
When the rehab term "max assist of 2" is used to describe level of assistance requiring 2 helpers, regardless of tasks, the FIM score is always a 1 or Total Assist, not a 2 or Max Assist.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When the term "max assist of 2" is used in rehab, it means that the patient requires the assistance of two helpers for all tasks. However, according to the Functional Independence Measure (FIM) scoring system, this level of assistance is considered as Total Assist and not Max Assist. Therefore, the statement that the FIM score is always a 1 or Total Assist, not a 2 or Max Assist, is true.Rate this question:
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- 18.
Both Bowel and Bladder Management consist of 2 "function modifiers" - 1. level of assistance (using a device or medication) and 2. # of accidents during your shift. The lowest score between these 2 function modifiers is the final FIM score.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The explanation for the given correct answer is that both Bowel and Bladder Management consist of two "function modifiers" - the level of assistance (using a device or medication) and the number of accidents during your shift. The final FIM score is determined by taking the lowest score between these two function modifiers. This means that if either the level of assistance or the number of accidents is low, it will affect the overall FIM score. Therefore, the statement that the lowest score between these two function modifiers is the final FIM score is true.Rate this question:
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- 19.
The definition of Toileting is pants down, self hygiene, pants up. How do you score a patient for Toileting if the amount of assistance needed differs between voiding and bowel movements?
- A.
It doesn't matter. Choose either score.
- B.
Record the lowest of the two scores
- C.
Rrecord the highest of the two scores
- D.
Activity did not occur
Correct Answer
B. Record the lowest of the two scoresExplanation
When scoring a patient for Toileting, if the amount of assistance needed differs between voiding and bowel movements, the correct approach is to record the lowest of the two scores. This means that the score should be based on the level of assistance required during the activity that the patient needs the least assistance with. This ensures that the overall score accurately reflects the patient's level of independence and need for assistance during Toileting.Rate this question:
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- 20.
In addition to scoring Bladder/Bowel Management, TOILETING is also scored if the patient uses a bedpan. True or False?
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because in addition to scoring Bladder/Bowel Management, TOILETING is also scored if the patient uses a bedpan. This means that if a patient requires assistance with using a bedpan, it will be included in the assessment and scoring for their toileting abilities.Rate this question:
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- 21.
If you judge that the patient needs a reminder to go to the bathroom to use the toilet before you leave the room, or needs periodic reminding but patient is not formally on a timed voiding program, the FIM score would be 5 or Supervision. True or False
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
If the patient needs a reminder to go to the bathroom or periodic reminding but is not on a timed voiding program, the FIM score would be 5 or Supervision. This means that the patient requires supervision or reminders to perform the task, but they can still complete it independently. Therefore, the statement "If you judge that the patient needs a reminder to go to the bathroom to use the toilet before you leave the room, or needs periodic reminding but patient is not formally on a timed voiding program, the FIM score would be 5 or Supervision" is true.Rate this question:
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Mar 16, 2023Quiz Edited by
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Jan 31, 2014Quiz Created by
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