Ot 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.
Eating - Usually, Mr. Tate can feed himself adequately, but requires 1:1 supervision for reminders to slow down and take smaller bites. However, this morning the helper fed him using the hand-over-hand technique to pick up the utensils, scoop up the food and guide it to the patient's mouth over 50% of the time. In addition, patient needed hand-over-hand technique to bring the cup and glass to his mouth more than 50% of the time. The patient was able to complete all eating tasks 25-49% of the time. What is the FIM score?
- A.
1 - Total Assist
- B.
6- Mod I
- C.
2- Max Assist
- D.
5 - Supervision/Set up
Correct Answer
C. 2- Max AssistExplanation
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.Rate this question:
-
- 2.
Grooming - After the helper provides Mr. Tate with soap and a towel, he can wash his hands and face at the sink but needs assistance rinsing and drying them. Mr. Tate needs complete assistance with brushing his teeth. Mr. Tate is bald so does not require assistance with combing his hair. Lastly, Mr. Tate is unsafe with a razor, and requires a staff member to do all of his shaving needs. What is the FIM score?
- A.
1 or Total Assist
- B.
5 or Supervision/Set up
- C.
3 or Mod Assist
- D.
6 or Mod I
Correct Answer
A. 1 or Total AssistExplanation
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.Rate this question:
-
- 3.
Bathing - Mr. Tate refuses to sit on a shower bench and refuses to bathe in bed. Showering is not attempted at admission due to the level of his agitation and safety considerations. What is the FIM score?
- A.
0 or Activity did not occur
- B.
5 or Supervision/Set up
- C.
7 or Independent
- D.
4 or Min Assist
Correct Answer
A. 0 or Activity did not occurExplanation
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.Rate this question:
-
- 4.
Upper Body Dressing - Mr. Tate is observed removing his shirt independently. When dressing he needs verbal cues for the order of the clothes (t-shirt before sweater). Mr. Tate's wife lays his clothes out for him next to the bed. What is the FIM score?
- A.
1 or Total Assist
- B.
2 or Max Assist
- C.
3 or Mod Assist
- D.
5 or Supervision/Setup
Correct Answer
D. 5 or Supervision/SetupExplanation
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.Rate this question:
-
- 5.
Lower Body Dressing - After the helper sets out his clothes, Mr. Tate is able to put his socks, boxers and slacks on with verbal cues. A helper needs to provide incidental assistance with putting his shoes on and tying the laces for him. In the evening, he is independent with removing all of his lower body clothing. What is the FIM score?
- A.
5 or Supervision/Set up
- B.
1 or Total Assist
- C.
4 or Min Assist
- D.
3 or Mod Assist
Correct Answer
C. 4 or Min AssistExplanation
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.Rate this question:
-
- 6.
Toileting - Mr. Tate is able to walk to the bathroom with supervision. He is able to pull down his slacks/boxers, and sit on the toilet with frequent cues. After using the toilet, he's not sure what to do next. The helper gives him toilet paper to do self hygiene but Mr. Tate tosses it into the nearby trash can. The helper must clean him and remind him to pull up his boxers and slacks. Patient is able to pull pants up without physical assistance. What is the FIM score?
- A.
1 or Total Assist
- B.
3 or Mod Assist
- C.
5 or Supervision/Set up
- D.
4 or Min Assist
Correct Answer
B. 3 or Mod AssistExplanation
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.Rate this question:
-
- 7.
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
- 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 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.Rate this question:
-
- 8.
Transfers; Tub/Shower - Tub transfer is not assessed at admission. Mr. Tate walked into the shower independently but refused to sit on the shower bench. He became very agitated and was unsafe in the shower, requiring 3 staff members to gently guide him out of the shower and back to bed What is the FIM score?
- A.
7 or Independent
- B.
1 or Total Assist
- C.
2 or Max Assist
- D.
3 or Mod Assist
Correct Answer
B. 1 or Total AssistExplanation
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.Rate this question:
-
- 9.
Comprehension: Mr. Tate is able to follow basic, one step commands more than 50% of the time, with staff repeating the command and gesturing almost 50% of the time. What is the FIM score?
- A.
1 or Total Assist
- B.
7 or Independent
- C.
3 or Mod Assist
- D.
2 or Max Assist
Correct Answer
C. 3 or Mod AssistExplanation
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.Rate this question:
-
- 10.
Expression: Mr. Tate often mixes up his words and thoughts, using inappropriate terms to describe objects. Often, he gets so frustrated that he swears and swings at staff when trying to express his needs. He resorts to pointing to what he needs when his wife asks him to repeat himself. He uses single words and common phrases less than 50% of the time. Staff must prompt him more than 50% of the time. What is the FIM score?
- A.
2 or Max Assist
- B.
1 or Total Assist
- C.
5 or Supervision/Set up
- D.
6 or Mod I
Correct Answer
A. 2 or Max AssistExplanation
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.Rate this question:
-
- 11.
Social Interaction: Mr. Tate is irritable and frequenly becomes aggressive during therapies. Staff treat him in a private area, because he yells at other patients and has picked up a chair and thrown it across the room. He is mad that he is being held "against his will" in the hospital. Mr. Tate takes medication throughout the day to calm him down, however he requires a sitter with him at all times. What is the FIMs score?
- A.
6 or Mod I
- B.
3 or Mod Assist
- C.
5 or Supervision/Set up
- D.
1 or Total Assist
Correct Answer
D. 1 or Total AssistExplanation
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.Rate this question:
-
- 12.
Problem Solving: Mr. Tate needs constant supervision. When he is thirsty, he grabs drinks out of visitor's hands. Because he thought it was "too stuffy in the room" he tried to open his window by banging his phone against it. When he needs to go to the bathroom, he presses the red button on the phone to call for help. What is the FIM score?
- A.
4 or Min Assist
- B.
3 or Mod Assist
- C.
2 or Max Assist
- D.
1 or Total Assist
Correct Answer
D. 1 or Total AssistExplanation
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.Rate this question:
-
- 13.
Memory: Mr. Tate easily recognizes his wife but calls her by the wrong name. He consistently recognizes the staff and calls therapies "the guards" or his sitter "the spy". He can remember more than 25% but needs reminding by the staff for the basic tasks and daily routines more than half of the time. What is the FIM score?
- A.
3 or Mod Assist
- B.
1 or Total Assist
- C.
4 or Min Assist
- D.
2 or Max Assist
Correct Answer
D. 2 or Max AssistExplanation
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.Rate this question:
-
- 14.
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 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.Rate this question:
-
- 15.
A patient uses a urinal in bed and accesses it from the bedside table. He only needs assistance with emptying the urinal and placing it back near the bed. He is independent with clothing management and self hygiene. You are observing Bladder Management only.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
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.Rate this question:
-
Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
-
Current Version
-
Mar 22, 2023Quiz Edited by
ProProfs Editorial Team -
Dec 11, 2013Quiz Created by
Rhciquiz
Back to top