FIM Quiz For Nurses – Functional Scoring Competency

The FIM score is 1 or Total Assist because Mrs. M requires total assistance to remove her pants, shoes, and socks. This indicates that she is unable to perform the activity independently and requires someone to assist her completely. The fact that the activity is undressing rather than dressing does not affect the scoring, as the level of assistance needed remains the same.

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The given answer of "7 or Independent" is appropriate because the person in question is able to engage in social interaction, communicate with other patients, and provide encouragement despite being in pain and feeling tearful. This demonstrates a high level of independence in their ability to participate in activities and interact with others without requiring assistance or supervision.

The FIM score for Mrs. M is 6 or Mod I. This means that she requires moderate assistance or supervision to perform the activity of eating. Although she can feed herself independently, she requires dentures to chew a regular diet without problems. Therefore, she may need some assistance or supervision to ensure that she is able to eat properly with the dentures.

Based on the given information, Mrs. M is able to stand up with the help of 1 person and pivot into the wheelchair using a walker. The question states that the person providing assistance (you) provides less than 50% of the lifting, and the patient is able to do more than 50% but less than 75% of the task. This indicates that the patient requires moderate assistance. Therefore, the FIM score for this transfer would be 3 or Mod Assist.

The FIM score would be 5 or Supervision because Mrs. M is able to apply and remove her bra and shirt on her own once her clothes are placed on her nightstand by the helper. This indicates that she requires only supervision to complete the task.

The statement is false because the definition of bathing does not specifically include the washing, rinsing, and drying of the face. Bathing generally refers to the act of cleansing and immersing one's body in water, which typically involves washing the entire body, not just the face.

Mrs. M tends to overestimate her abilities and does not ask for help when dressing her lower body. However, she occasionally needs verbal cues to initiate the use of a reacher when her feet get caught in her pants. This indicates that she requires supervision during ADLs. Supervision means that someone needs to be present to ensure her safety and provide occasional verbal cues, but she can perform the tasks independently for the most part.

Based on the given information, Mrs. M is able to perform all the grooming tasks independently without the need for any assistance or supervision. Therefore, she would be scored as 7 or Independent.

The correct answer is False. The FIM score is not determined based on the percentage of effort provided by the helper. The FIM score measures the level of assistance required by the individual to complete a task, ranging from total dependence to complete independence. The score is determined based on the individual's ability to perform the task without assistance, regardless of the amount of effort provided by the helper.

The FIM score for Mrs. M's toileting ability is 4 or Min Assist. Although she is able to perform the tasks of pulling her pants and underwear down, cleaning herself, and pulling her pants and underwear up on her own, she requires the assistance of one helper to steady her during these tasks. The helper does not directly assist with the tasks but provides touch or contact guard/steadying assist to ensure the patient's safety. This level of assistance falls under the category of Min Assist in the FIM scoring system.

The explanation for the given correct answer is that the information documented in Meditech for Bowel and Bladder, including the Level of Assistance and Device used, should be consistent with the Bowel and Bladder documentation in Achieve. This means that both systems should have the same information regarding the patient's bowel and bladder management. It is important to ensure accuracy and consistency in the documentation across different systems to provide comprehensive and effective care for the patient.

The definition of bathing includes washing, rinsing, and drying the chest, abdomen, and both arms. However, a helper is required to wash, rinse, and dry the upper and lower legs/feet, perineal area, and buttocks. Based on this information, it can be concluded that Mrs. M requires maximum assistance (Max Assist) for bathing.

If the helper only provides physical support, steadying, or contact guard while the patient completes the 3 tasks of toileting, it indicates that the patient is able to perform the tasks on their own with minimal assistance. Therefore, the appropriate FIM score would be 4 - Min Assist, which corresponds to "Incidental Assistance." This means that the patient requires minimal assistance but is able to complete the tasks independently.

The given correct answer, 6 or Mod I, suggests that Mrs. M is able to perform her daily planning system with moderate independence. This means that she may require some assistance or support, but overall she is able to manage and remember the important information related to her therapy sessions, visiting hours, room number, and rehab team.

The FIM score would be 1 or Total Assist. This is because the patient is unable to independently manage her bladder and requires assistance from staff members. The fact that staff members had to change her bed and clothing after an accident indicates that she is unable to control her bladder effectively. Therefore, she would receive a score of 1, indicating that she requires total assistance for bladder management.

The FIM score for this situation is 5 or Supervision because Mrs. M is able to use the bedpan on her own but requires a helper to stand by in case she needs assistance. This indicates that she can perform the task with supervision, but may need occasional support.

The correct answer is 0 or Activity did not occur because the activity of using a bedpan for toileting did not occur. This is indicated by the statement that Mrs. M uses a bedpan for toileting, with a helper emptying the bedpan after use. However, there is no mention of the actual activity taking place, suggesting that it did not occur.

The correct answer is 5 or Supervision. Mrs. M is able to easily follow concrete commands during therapy sessions but occasionally needs repetition. This suggests that she is able to perform tasks independently with some supervision and guidance.

Based on the given information, Mrs. M is able to express her basic needs adequately to staff most of the time and is currently able to call her husband to remind him to bring batteries for her hearing aids. This suggests that she does not require any physical assistance or direct intervention (such as total assist, mod assist, or min assist) in expressing herself or making phone calls. However, she may still need some level of supervision (option 5) to ensure that she is able to communicate effectively and safely.