Pt 4th Quarter FIM Quiz
Mr. Tate is a 68 y. O. Male who lives with his wife in a 2 story house. He had recently retired from a law firm and had a massive MI resulting in anoxic brain damage. He has been admitted from the acute care hospital for inpatient rehab.
Questions and Answers
- 1.
Transfers: Bed/Chair/Wheelchair - Mr. Tate needs supervision to move from the bed to the chair. He uses a wheelchair for safety during the day, and a helper needs to make sure the brakes are locked, the foot rests are raised and cues are given before he transfers into the wheelchair. What is the FIM score?
- A.
6 or Mod I
- B.
5 or Supervision/Set up
- C.
4 or Min Assist
- D.
1 or Total Assist
Correct Answer
B. 5 or Supervision/Set upExplanation
The FIM score for Mr. Tate in this situation is 5 or Supervision/Set up. This means that he requires supervision and assistance with setting up the wheelchair before transferring from the bed to the chair. It is important for a helper to ensure that the brakes are locked, the foot rests are raised, and provide cues to Mr. Tate during the transfer process. While he may be able to perform the transfer independently once the setup is complete, he still requires supervision and assistance during the initial steps.Rate this question:
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- 2.
Transfers: Toilet - With verbal cues and contact guard assistance, Mr. Tate transfers on and off a toilet. What is the FIM score?
- A.
5 or Supervision/Set up
- B.
1 or Total Assist
- C.
3 or Mod Assist
- D.
4 or Min Assist
Correct Answer
D. 4 or Min AssistExplanation
The FIM score for Mr. Tate's transfers on and off a toilet is 4 or Min Assist. This means that he requires minimal assistance from another person to complete the transfer.Rate this question:
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- 3.
Locomotion: Walk - Mr. Tate is restless and agitated, and frequently paces the floor with his sitter and his wife. He requires hand held assistance to walk 200 feet. His wife is usually able to redirect him, however, about once daily, additional staff members are needed to help him walk back to his room. What is the FIM score?
- A.
1 or Total Assist
- B.
5 or Supervision/Set up
- C.
4 or Min Assist
- D.
6 or Mod I
Correct Answer
A. 1 or Total AssistExplanation
Mr. Tate requires hand-held assistance to walk 200 feet and additional staff members are needed to help him walk back to his room. This indicates that he is completely dependent on others for locomotion and requires total assistance. Therefore, the FIM score would be 1 or Total Assist.Rate this question:
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- 4.
Locomotion; Wheelchair - Mr. Tate becomes very agitated in the wheelchair, and is not able to propel himself more than a few feet before almost crashing into an obstacle. 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
A. 1 or Total Assist -
- 5.
Stairs: During a very agitated episode, Mr. Tate got away from his sitter and walked into the stairwell before help could arrive. He climbed 12 stairs however, no one was there to observe. When he got to the top, 2 staff arrived. One helper was able to coax him back down the stairs, by holding his hand gently and pointing to each step to walk down. The other helper stayed at the bottom of the stairs for safety reasons. What is the FIM score?
- A.
4 or Min Assist
- B.
5 or Supervision/Set up
- C.
7 or Independent
- D.
1 or Total Assist
Correct Answer
D. 1 or Total AssistExplanation
The FIM score is a measure of a person's level of independence in performing daily activities. In this scenario, Mr. Tate required total assistance to climb down the stairs, as he needed someone to hold his hand and guide him step by step. This indicates that he is not able to perform this activity independently and requires assistance for safety reasons. Therefore, the FIM score for this activity would be 1 or Total Assist.Rate this question:
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- 6.
If a patient needs help getting in and out of bed to go to the bathroom, needs help transferring on and off the toilet, is able to do self hygiene but needs help with clothing management and takes medication to control bladder sphincter, what FIM categories are you observing?
- A.
Bed/Chair/WC transfer and Toilet Transfer
- B.
Bladder Management
- C.
Bed/Chair/WC transfer, Toileting and Bladder Management
- D.
Bed/Chair/WC transfer, Toilet Transfer, Toileting and Bladder Management
Correct Answer
D. Bed/Chair/WC transfer, Toilet Transfer, Toileting and Bladder ManagementExplanation
The patient's need for help getting in and out of bed, transferring on and off the toilet, and assistance with clothing management indicates the observation of the FIM categories of Bed/Chair/WC transfer, Toilet Transfer, Toileting, and Bladder Management.Rate this question:
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- 7.
Stairs: A patient tells you that she has 4 steps to enter her apartment building and she takes an elevator to her floor. Therefore, you do not need to asses her ability to climb 12-14 steps. True or False
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The patient's ability to climb 4 steps does not necessarily indicate their ability to climb 12-14 steps. The number of steps can vary significantly and the patient's ability should be assessed based on the specific number of steps they may encounter in different situations. Therefore, it is false to assume that the patient's ability to climb 4 steps automatically means they can climb 12-14 steps.Rate this question:
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