Ot 4th Quarter FIM Quiz

The FIM score is 0 or "Activity did not occur" because Mr. Tate refuses to sit on a shower bench and refuses to bathe in bed. As a result, showering is not attempted at admission due to his agitation and safety considerations. Therefore, the activity of bathing did not occur, resulting in a score of 0.

Based on the information provided, the FIM score for Upper Body Dressing for Mr. Tate would be 5 or Supervision/Setup. This is because he is able to remove his shirt independently, but requires verbal cues for the order of the clothes when dressing. Additionally, his wife lays his clothes out for him next to the bed, indicating that he requires some level of assistance or setup in order to successfully dress himself.

Based on the given information, Mr. Tate often mixes up his words and thoughts, uses inappropriate terms, gets frustrated, swears, and swings at staff. He resorts to pointing and uses single words and common phrases less than 50% of the time. Staff also needs to prompt him more than 50% of the time. All of these factors indicate that Mr. Tate requires maximum assistance (Max Assist) in expressing his needs. Therefore, the FIM score for Mr. Tate would be 2 or Max Assist.

Based on the given information, Mr. Tate is able to follow basic, one step commands more than 50% of the time with some assistance. The staff needs to repeat the command and gesture almost 50% of the time. This indicates that Mr. Tate requires moderate assistance (Mod Assist) to successfully complete the tasks.

The FIM score is 2- Max Assist because the patient requires assistance over 50% of the time to complete eating tasks. The helper uses the hand-over-hand technique to pick up utensils, scoop food, guide it to the patient's mouth, and bring the cup and glass to the patient's mouth. This indicates that the patient needs maximum assistance to perform these tasks.

The FIMs score is determined based on the level of assistance a person requires to perform various activities of daily living. In this case, Mr. Tate requires a sitter with him at all times, indicating that he needs total assistance. Therefore, the FIMs score for Mr. Tate is 1 or Total Assist.

The FIM score for this scenario would be 1 or Total Assist. This is because Mr. Tate required assistance from three staff members to guide him out of the shower and back to bed. He was unable to complete the task independently and needed total assistance.

Based on the given information, Mr. Tate requires assistance in various activities. He needs constant supervision, grabs drinks from visitors, tries to open the window with his phone, and calls for help using the red button on the phone when he needs to go to the bathroom. This behavior indicates that Mr. Tate is highly dependent on assistance for his daily activities, hence the FIM score would be 1 or Total Assist.

The FIM score for this situation is 4 or Min Assist. This means that the individual requires minimal assistance in performing the task of lower body dressing. The helper sets out the clothes and provides verbal cues for putting on socks, boxers, and slacks. The helper also assists with putting on shoes and tying the laces. However, in the evening, the individual is able to independently remove all of his lower body clothing.

The FIM score for Mr. Tate's transfers to and from the toilet is 4 or Min Assist. This means that he requires minimal assistance from another person to complete the transfer. Although he may need some assistance, it is minimal and he is able to participate actively in the transfer process.

Based on the given information, Mr. Tate requires complete assistance with grooming tasks such as rinsing, drying, brushing his teeth, and shaving. This indicates that he is unable to perform these tasks independently and needs someone to provide total assistance. Therefore, the FIM score for Mr. Tate's grooming would be 1 or Total Assist.

The correct answer is "Bed/Chair/WC transfer, Toilet Transfer, Toileting and Bladder Management". This is because the patient needs help with transferring in and out of bed and on and off the toilet, indicating the need for bed/chair/WC transfer and toilet transfer. Additionally, the patient takes medication to control the bladder sphincter, indicating the need for bladder management. The patient is able to do self hygiene but needs help with clothing management, which falls under the category of toileting. Therefore, all four FIM categories are being observed in this scenario.

Based on the given information, Mr. Tate consistently recognizes people but often calls them by the wrong name. He also needs reminding by the staff for basic tasks and daily routines more than half of the time. This suggests that Mr. Tate requires maximum assistance (Max Assist) in performing these tasks, as he cannot complete them independently and relies heavily on the staff for guidance and reminders. Therefore, the FIM score would be 2 or Max Assist.

The FIM score is 3 or Mod Assist because Mr. Tate requires moderate assistance during toileting. Although he is able to walk to the bathroom and perform some tasks independently, he needs cues and reminders to complete the process correctly. The helper needs to clean him and remind him to pull up his pants, indicating that he requires moderate assistance in this activity.

The patient is independent with clothing management and self hygiene, indicating that they are able to take care of their personal needs without assistance. However, the question specifically mentions that the observation is focused on Bladder Management only. Since the patient requires assistance with emptying the urinal and placing it back near the bed, it can be concluded that they are not fully independent in bladder management. Therefore, the correct answer is False.