Ra 1st Qtr FIM Quiz 2014

12 Questions | Total Attempts: 572

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Ra 1st Qtr FIM Quiz 2014

Accurate communication about what FIM category you observe or assist with is fundamental to insuring accurate FIM scores. Know the definitions.


Questions and Answers
  • 1. 
    Patient uses the call light for help. She needs your assistance getting out of bed to walk to sink or bathroom and she also needs your assistance getting back into bed.  What FIM activity are you observing?
    • A. 

      Toilet Transfer

    • B. 

      Bladder Management

    • C. 

      Bed/Chair/Wheelchair Transfer

    • D. 

      No FIM activity was observed.

  • 2. 
    Mrs. P has urgency and will need to use the bedpan. When she notifies you that she needs to void, the RA assists the patient by pulling down Mrs. P's pants and provides touching assistance to position her on the bedpan. After voiding, Mrs. P cleanses herself and pulls her pants back up while the RA empties the bedpan. You've assisted with both Toileting and Bladder Management.
    • A. 

      True

    • B. 

      False

  • 3. 
    Definition of Toileting; True or False? Only the adjustment of clothing before and after using toilet/bedpan/urinal/commode.
    • A. 

      True

    • B. 

      False

  • 4. 
    True or False? Bladder Management includes complete and intentional control of urinary bladder, and if necessary, use of equipment and/or agents for bladder control. When the patient uses the toilet and does not need medication to control sphincter, nor requires reminders to void,  the FIM score is a 7 or Independent
    • A. 

      True

    • B. 

      False

  • 5. 
    True or False? Toilet Transfer includes getting on and off the toilet. It does not include getting on and off a commode.
    • A. 

      True

    • B. 

      False

  • 6. 
    The helper provides more than 50% of assistance with undressing lower body. What is the FIM score?
    • A. 

      Max Assist or 2

    • B. 

      Independent or 7

    • C. 

      Mod Assist or 3

    • D. 

      Activity did not occur

  • 7. 
    True or False? If a patient needs your assistance applying their TED stockings and yet can complete all other lower body dressing tasks without your assistance, the FIM score would be Supervision/Set up or 5.
    • A. 

      True

    • B. 

      False

  • 8. 
    True or False? Based on the SCC FIM policy filed in Meditech and in The FIM Guides, it is not required that the RA and the RN sit together at the computer to document what the RA observed or assisted with during the shift.
    • A. 

      True

    • B. 

      False

  • 9. 
    True or False The definition of a bladder accident is when linens and/or clothing is soiled. That would include when you're removing the urinal and spill it's contents accidentally, requiring a change of sheets/clothing.
    • A. 

      True

    • B. 

      False

  • 10. 
    Regardless of the task, if the patient requires contact guard or steadying assistance for balance, to complete a task, the FIM score would be.....
    • A. 

      4 or Min Assist

    • B. 

      6 or Mod I

    • C. 

      3 or Mod Assist

    • D. 

      1 or Total Assist

  • 11. 
    True or False? The rehab term "max assist of 2" is a FIM score of 1 or Total Assist, not a 2 or Max Assist.
    • A. 

      True

    • B. 

      False

  • 12. 
    True or False? When you have a FIM patient during your shift,  hold off for just a few moments before assisting with the task. This will allow you to get a sense of what the patient can do for themselves to better reflect the level of assistance needed. Give the patient the chance to demonstrate their efforts first. If the patient is not able to complete a task, then assist and document the level of assistance needed.
    • A. 

      True

    • B. 

      False

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