Pt FIM Competency 3rd Qtr

14 Questions | Total Attempts: 47

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Pt FIM Competency 3rd Qtr

Mrs. M is a 70 y. O, married white female who lives with her husband. She has PVD, Hypertension, DM and is obese. She had bilateral knee replacement on 8/14/13 due to degenerative joint disease and is transferred to SCC on 8/20/13 for acute rehab.


Questions and Answers
  • 1. 
    Transfers: Bed/chair/wheelchair - Using a walker, Mrs. M is able to stand up with the help of 1 and pivot into the wheelchair. The patient is able to do between 50-75% of the task on their own with less than 50% assistance from the helper.  What is the FIM score?
    • A. 

      5 or Supervision

    • B. 

      6 or Mod I

    • C. 

      3 or Mod Assist

    • D. 

      1 or Total Assist

    • E. 

      2 or Max Assist

  • 2. 
    Transfers: Toilet -  Mrs. M uses a bedpan for toileting, with a helper emptying the bedpan after use.
    • A. 

      1 or Total Assist

    • B. 

      5 or Supervision

    • C. 

      4 or Min Assist

    • D. 

      Do not assess until patient can use toilet or commode

    • E. 

      3 or Mod Assist

  • 3. 
    Comprehension - Mrs. M easily follows concrete commands during therapy sessions but needs occasional repetition. She has no hearing aid batteries and asked her husband to bring some in
    • A. 

      6 or Mod I

    • B. 

      5 or Supervision

    • C. 

      2 or Max Assist

    • D. 

      1 or Total Assist

    • E. 

      7 or Independent

  • 4. 
    Expression -  Mrs. M has no difficulty expressing herself . She is able to state her needs adequately to staff, and is currently calling her husband to make sure he brings the batteries in for her hearing aids. 
    • A. 

      3 or Mod Assist

    • B. 

      1 or Total Assist

    • C. 

      6 or Mod I

    • D. 

      7 or Independent

    • E. 

      4 or Min Assist

  • 5. 
    Social Interaction - Mrs. M is in pain periodically, is tearful at times alone in her room, but does not require redirection or medications. Around other patients, she enjoys interacting with them, encouraging them to participate and get stronger in their therapies.
    • A. 

      1 or Total Assist

    • B. 

      5 or Supervision

    • C. 

      2 or Max Assist

    • D. 

      0 or Activity did not occur

    • E. 

      7 or Independent

  • 6. 
    Problem Solving - Mrs. M tends to overestimate her ability tocomplete a routine task such as moving too quickly from chair to bed. She places the walker to her side to lean on instead of in front of her. She needs direction no more than 10% of the time to help her be less impulsive.
    • A. 

      7 or Independent

    • B. 

      5 or Supervision

    • C. 

      3 or Mod Assist

    • D. 

      1 or Total Assist

    • E. 

      4 or Min Assist

  • 7. 
    Memory - Mrs. M feels that her hospitalization has thrown her off kilter and she has come up with a daily planning system to remember the times and places of her therapy sessions, when visiting hours are, her room number, and the names of her rehab team.
    • A. 

      3 or Mod Assist

    • B. 

      4 or Min Assist

    • C. 

      1 or Total Assist

    • D. 

      7 or Independence

    • E. 

      6 or Mod I

  • 8. 
    If you, the helper, are providing 50-75% of the assisstance to complete the task (the patient is performing between 25-49%) the FIM is;
    • A. 

      2 or Max Assist

    • B. 

      3 or Mod Assist

  • 9. 
    If you, the helper, only provide physical support, steadying, or contact guard while the patient on his/her own, completes the 3 tasks of Toileting, in Achieve, you would select "Incidental Assistance" NOT "Physical Assistance" for a FIM score of 4 - Min Assist.
    • A. 

      True

    • B. 

      False

  • 10. 
    When a patient transfers out unexpectedly: Kudos to all of you for documenting DC FIMs on the same day the patient leaves acutely, and documenting the FIM scores taken from the day before. Thank you!! The following is an usual clinical situation;  If a patient is admitted on a Monday (FIM Day 1),  transfers out acute on Wednesday (FIM Day 3), you do not have to complete a DC FIM because your admission FIMs are used to calculate the DC FIMs.
    • A. 

      True

    • B. 

      False

  • 11. 
    The definition of an accident is the wetting of linens and/or clothing only. If a patient is incontinent and wears a brief but does NOT soil their clothing or linens, this is NOT an accident. True or False
    • A. 

      True

    • B. 

      False

  • 12. 
    Due to her size and safety reasons, she was unable to attempt stairs during the first 3 days.
    • A. 

      1 - Total Assist

    • B. 

      0 - Activity did not occur

    • C. 

      3 - Mod Assist

    • D. 

      7 - Independent

    • E. 

      6 - Mod I

  • 13. 
    Locomotion - She is able to walk 30 feet with a walker and max assist of one staff member and her husband. What is the FIM score?
    • A. 

      1 - Total Assist

    • B. 

      2 - Max Assist

    • C. 

      3 - Mod Assist

    • D. 

      4- Min Assist

    • E. 

      Activity did not occur

  • 14. 
    TRANSFERS; Toilet:  On day 3, Mrs M transfers onto a regular toilet seat by using her walker and a helper provides verbal assistance to help her get situated on the toilet. Mrs. M needs some lifting or less than 50% of your assistance when rising from the toilet. What is her level of assistance? (Hint - once you're "lifting" it's beyond a 4 or Min Assist)
    • A. 

      4-Min Assist

    • B. 

      5 - Supervision

    • C. 

      3 - Mod Assist

    • D. 

      1 - Total ASsist

    • E. 

      6 - Mod I

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