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FIM test
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Questions in this quiz (25)
1Bella 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?
- ALevel 6, Modified Independence
- BLevel 5, Supervision/Setup
- CLevel 4, Minimal Assistance
- DLevel 3, Moderate Assistance
2Benjamin 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.
- ATrue
- BFalse
3If 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?
- ALevel 5, Supervision/Set Up
- BLevel 3, Moderate Assistance
- CLevel 6, Modified Independence
- DLevel 4, Minimal Assistance
4Level 5, Supervision/Set Up
- ARequires device, more time, safety precautions, applies prosthesis to complete upper body dressing.
- BRequires supervision, cueing, set up (cutting food, opening containers, or help applying prosthetic, help with set up of tube feed).
- CDresses in inappropriate clothing
- DHousehold exceptions: Locomotion Stairs
5Total assist - patient expands less than 25% of the effort
- ALevel 1
- BLevel 4
- CLevel 2
- DLevel 3
6Minimal assist, patient requires no more help than touching and expends 75% or more of the effort
- ALevel 3
- BLevel 2
- CLevel 4
- DLevel 5
7Activity does not occur - patient does not perform the activity and a helper does not perform, Level 6
- ATrue
- BFalse
8Frank 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?
- ALevel 5, Supervision/Set Up
- BLevel 4, Minimal Assistance
- CLevel 3, Moderate Assistance
- DLevel 7, Complete Independence
9Florence 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.
- ATrue
- BFalse
10Lyzette 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?
- ALevel 6, Modified Independence
- BLevel 4, Minimal Assistance
- CLevel 2, Maximal Assistance
- DLevel 1, Total Assistance
11Jim 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?
- ALevel 1, Total Assistance
- BLevel 4, Minimal Assistance
- CLevel 5, Supervision/Set Up
- DLevel 6, Modified Independence
12Laura 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.
- ATrue
- BFalse
13Stephen 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?
- ALevel 1, Total Assistance
- BLevel 3, Moderate Assistance
- CLevel 5, Supervision
- DLevel 6, Modified Independence.
14Jake 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?
- ALevel 5, Supervision
- BLevel 4, Minimal Assistance
- CLevel 3, Moderate Assistance
- DLevel 2, Maximal Assistance
15Josie 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.
- ATrue
- BFalse
16Admission FIM scores should reflect the highest functional status during the first 3 days across three 24 hour periods.
- ATrue
- BFalse
17Margaret 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?
- ALevel 5, Supervision/Set Up
- BLevel 4, Minimal Assistance
- CLevel 3, Moderate Assistance
- DLevel 2, Maximal Assistance
18Ed 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.
- ATrue
- BFalse
19Brooke 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?
- ALevel 4, Minimal Assistance
- BLevel 3, Moderate Assistance
- CLevel 2, Maximal Assistance
- DLevel 1, Total Assistance
20Stanley 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.
- ALevel 7, Complete Independence
- BLevel 6, Modified Independence
- CLevel 5, Supervision/Set Up
- DLevel 4, Minimal Assistance
21John 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.
- ATrue
- BFalse
22A bowel or bladder accident only occurs if the patient soils their brief.
- ATrue
- BFalse
23If 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?
- ATrue
- BFalse
24What is considered when assessing TOILET TRANSFERS?
- A Getting on & off standard toilet/bedside commode (grab bars, wheelchair arms and walkers are assistive devices)
- BIncludes 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)
- CIncludes 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)
- DPatient moves up and down stairs, full flight 12-14 stairs, indoors, and in a safe manner
252 or more helpers automatic level
- ALevel 0
- BLevel 1, Total Assistance
- CLevel 2, Maximal Assistance
- DLevel 3, Moderate Assistance
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- FIM test
- Author
- darcyp
- Language
- English
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