RN 4th Quarter FIM Quiz

The FIM score is determined based on the level of assistance a patient requires to perform certain activities. In this case, Mr. Tate is unable to control his bladder and is incontinent every night, requiring the nurse to change his bed, clean and dry his skin, and replace the adult brief. This indicates that he needs total assistance for bladder management, resulting in a FIM score of 1 or Total Assist.

The FIM score for Mr. Tate is 1 or Total Assist because he requires complete assistance with grooming tasks such as rinsing and drying his hands and face, brushing his teeth, and shaving.

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 categories. Additionally, the patient requires assistance with clothing management, which falls under the Toileting category. Finally, the patient takes medication to control bladder sphincter, indicating the need for Bladder Management category.

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The FIM score for this scenario is 5 or Supervision/Setup. This means that Mr. Tate requires supervision or setup to complete the task of upper body dressing. Although he is able to remove his shirt independently, he needs verbal cues for the order of putting on his clothes. His wife lays out his clothes for him, indicating that he requires some assistance in organizing and initiating the dressing process.

The FIM score is 2- Max Assist because the patient requires assistance over 50% of the time for feeding tasks, including using utensils and bringing the cup and glass to their mouth. Max Assist indicates that the patient needs someone to provide significant physical assistance or perform the task for them.

If the patient is able to use the toilet independently but requires assistance with transferring to and from the toilet or needs assistance with toileting tasks, their FIM score for Bladder and Bowel Management would be 7, indicating independence. However, if the patient requires medication to help control their sphincter, their FIM score would be 6, indicating modified independence. Therefore, the statement is true.

Based on the given information, Mr. Tate frequently becomes aggressive and requires a sitter with him at all times. This indicates that he is completely dependent on assistance and requires total assistance (FIMs score of 1) for his social interactions.

The FIM score is a measure of a person's functional independence. In this case, Mr. Tate requires total assistance for his daily activities. He needs constant supervision, grabs drinks from visitors, tries to open the window with his phone, and calls for help when he needs to go to the bathroom. These actions indicate that he is unable to perform these activities independently and requires total assistance. Therefore, the FIM score for Mr. Tate is 1 or Total Assist.

Based on the given information, Mr. Tate consistently recognizes people but often calls them by the wrong name. He also requires reminding by the staff for basic tasks and daily routines more than half of the time. This indicates that he needs maximum assistance (Max Assist) to perform these tasks. Therefore, the FIM score for Mr. Tate would be 2 or Max Assist.

The FIM score for Mr. Tate would be 5 or Supervision/Set up. This is because he requires supervision from a helper to move from the bed to the chair. The helper needs to ensure that the wheelchair brakes are locked, foot rests are raised, and cues are given before Mr. Tate transfers into the wheelchair. Although he requires assistance, it is not specified that the helper physically assists him in the transfer, hence the score of Supervision/Set up rather than Min Assist.

Based on the given information, Mr. Tate requires minimal assistance (Min Assist) when it comes to lower body dressing. Although he can independently remove his lower body clothing in the evening, he still needs some assistance in putting on his shoes and tying the laces. This level of assistance falls under the category of Min Assist, where the helper provides minimal support to complete the task. Therefore, the FIM score for lower body dressing in Mr. Tate's case is 4 or Min Assist.

Based on the given information, Mr. Tate is able to follow basic, one step commands more than 50% of the time. However, the staff needs to repeat the command and gesture almost 50% of the time. This suggests that Mr. Tate requires moderate assistance (Mod Assist) to follow these commands.

Based on the given information, Mr. Tate often mixes up his words and thoughts, uses inappropriate terms, gets frustrated, swears, and swings at staff when trying to express his needs. He resorts to pointing and uses single words and common phrases less than half of the time. Staff must prompt him more than half of the time. This indicates that Mr. Tate requires maximum assistance (Max Assist) in performing his daily activities. Therefore, the FIM score for Mr. Tate would be 2 or Max Assist.

Based on the given information, Mr. Tate was incontinent of stool on day 3 of rehab and required assistance from the staff to clean his skin and replace his brief. This indicates that he is unable to perform the task of toileting independently and requires total assistance, hence the FIM score would be 1 or Total Assist.

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. He may need some assistance, such as steadying or guiding, but is able to perform most of the transfer independently.

False. The patient is described as independent with clothing management and self hygiene, indicating that they are capable of managing their own bladder management. Therefore, they do not require assistance with emptying the urinal and placing it back near the bed.

The FIM score for this scenario is 3 or Mod Assist. This is because Mr. Tate requires moderate assistance for toileting. Although he is able to walk to the bathroom and perform some tasks independently, such as pulling down his pants and sitting on the toilet, he requires cues and reminders for other tasks, such as using toilet paper and pulling up his pants. The helper needs to clean him and provide reminders, indicating that Mr. Tate is not able to complete these tasks on his own.