RN 4th Quarter FIM Quiz
18 Questions
| Attempts: 422
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 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.
6- Mod I
- B.
1 - Total Assist
- C.
2- Max Assist
- D.
5 - Supervision/Set up
- 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
- 3.Bathing - Mr. Tate refuses to sit on a shower bench and refuses to bathe in bed. Bathing is not attempted on Day 2 due to the level of his agitation and safety considerations. The staff plan to assess Bathing on Day 3. What is the FIM score?
- A.
Leave blank
- B.
5 or Supervision/Set up
- C.
7 or Independent
- D.
4 or Min Assist
- 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
- 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, helping him to put on his shoes and tie the laces. 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
- 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
- 7.Bladder - In acute care, Mr. Tate was incontinent every few hours, with staff constantly replacing his bed linen, hospital gowns and diapers. Upon admission to rehab, Mr. Tate is voiding when cued every 2 hours by staff during the day. Every night he is incontinent, the nurse finding his bed soaked and pajama pants and adult brief on the floor. The nurse must change his bed, clean and dry his skin, and replace the adult brief. What is the FIM score?
- A.
7 or Independent
- B.
3 or Mod Assist
- C.
5 or Supervision/Set up
- D.
1 or Total Assist
- 8.Bowel - Mrs. Tate reported that before her husband's heart attack, he typically had a BM every morning after breakfast. On the second day of admission, the rehab staff toileted Mr. Tate after breakfast and he was continent of stool. On day 3 of rehab, Mr. Tate was not toileted after breakfast and was incontinent in his adult brief, which he removed, soiling his pants. The staff cleaned Mr. Tate's skin and replaced the brief. The staff in acute care did not have any data on bowel movements for Mr. Tate. What is the FIM score?
- A.
2 or Max Assist
- B.
6 or Modified Independent
- C.
1 or Total Assist
- D.
4 or Min Assist
- 9.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
- 10.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
- 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
- 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
- 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
- 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
- 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 only observing Bladder Management. True or False
- A.
True
- B.
False
- 16.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
- 17.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 half of the time. Staff must prompt him more than half 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
- 18.If the patient uses the toilet but needs you there for assistance with Toilet Transfer or Toileting, the FIM score for Bladder and Bowel Management is 7 or Independent. If the patient requires a medication to help control the sphincter, the FIM score for Bladder and Bowel Management is 6-Mod I
- A.
True
- B.
False
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