Ra 2nd Qtr FIM
Accurate communication about the level of assistance needed for the FIM category you observe or assist with is fundamental to insuring accurate FIM scores. Before anything else, you MUST know the definitions of each category!
Questions and Answers
- 1.
Patient uses the call light for help. She needs your assistance getting out of bed to go to the bathroom, helping with clothing management/hygiene, transferring onto and off of the toilet. After voiding she then needs your help getting back into bed. What activities are you observing and/or assisting with?
- A.
Toilet Transfer and Bladder Management only
- B.
Bladder Management only
- C.
Bed/Chair/Wheelchair Transfer-Toilet Transfer only
- D.
B/C/WC Transfer-Toilet Transfer-Toileting-Bladder Management
Correct Answer
D. B/C/WC Transfer-Toilet Transfer-Toileting-Bladder ManagementExplanation
The correct answer is B/C/WC Transfer-Toilet Transfer-Toileting-Bladder Management. This answer includes all the activities mentioned in the question, such as assisting the patient with getting out of bed, helping with clothing management/hygiene, transferring onto and off of the toilet, and assisting with bladder management.Rate this question:
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- 2.
Mr. X has urgency and needs to use the bedpan. The RA assists the patient by pulling down his pants, provides touching assistance to position him on the bedpan. Mr. X cleanses himself and is able to pull his pants back up. You've assisted with both Toileting and Bowel Management.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The scenario described in the question involves assisting Mr. X with using the bedpan, which is a part of toileting. The RA helps Mr. X by pulling down his pants and positioning him on the bedpan, which is a form of toileting assistance. Mr. X then cleanses himself and is able to pull his pants back up, indicating that he has successfully managed his bowel movement. Therefore, it can be concluded that the correct answer is true, as both toileting and bowel management were assisted in this scenario.Rate this question:
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- 3.
Definition of Bed/ Chair/ WheelChair Transfer The ability to get out of bed, transfer to a chair or wheelchair and back AND/OR to get out of bed to a standing position if walking is the typical mode of locomotion.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The given statement is true. The definition of Bed/Chair/Wheelchair Transfer states that it involves the ability to move from bed to a chair or wheelchair and vice versa. It also includes the ability to stand up from the bed if walking is the usual way of moving around. Therefore, the statement is correct.Rate this question:
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- 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, even if you're standing by for safety, and s/he does not need a device or medication to control sphincter, nor requires reminders to void, the level of assistance is Independent.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Bladder management refers to the control of the urinary bladder, including the use of equipment or agents if necessary. If a patient can use the toilet without needing any devices or medication to control their sphincter and does not require reminders to void, then they have complete and intentional control of their bladder. In this case, the level of assistance required is independent.Rate this question:
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- 5.
True or False? If it takes 2 people to assist with the activity, even if one does not physically touch the patient, the level of assistance needed is Total Assistance or a FIM score of 1
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
If it takes 2 people to assist with the activity, it means that the patient is unable to perform the activity independently. Even if one person does not physically touch the patient, their presence and assistance are still required. This indicates that the level of assistance needed is total assistance, which corresponds to a FIM score of 1. Therefore, the statement is true.Rate this question:
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- 6.
You, the helper, provide more than 50% of assistance with undressing lower body. Patient is able to perform 25-49% of the activity. What is the level of assistance?
- A.
Max Assist
- B.
Min Assist
- C.
Mod Assist
- D.
Activity did not occur
Correct Answer
A. Max AssistExplanation
The level of assistance is Max Assist because the helper provides more than 50% of assistance with undressing the lower body, while the patient is only able to perform 25-49% of the activity.Rate this question:
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- 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
Correct Answer
A. TrueExplanation
If a patient is able to complete all other lower body dressing tasks without assistance but requires help in applying their TED stockings, it indicates that they have a level of independence in dressing but need supervision or set up for this specific task. Therefore, the FIM score would be Supervision/Set up or 5.Rate this question:
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- 8.
Regardless of the task, if the patient requires more than 50% assistance to complete a task, the level of assistance would be ....
- A.
Min Assist or 4
- B.
Max Assist or 2
- C.
Mod Assist or 3
- D.
1 or Total Assist
Correct Answer
B. Max Assist or 2Explanation
If a patient requires more than 50% assistance to complete a task, the level of assistance would be "Max Assist or 2". This means that the patient needs maximum assistance to complete the task, indicating that they are unable to perform the task independently and require significant help from a caregiver or healthcare professional.Rate this question:
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- 9.
The rehab term "max assist of 2" in FIM language is a Total Assist or 1. True or False
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
In FIM language, "max assist of 2" refers to a level of assistance where the patient requires total assistance or assistance from one person. Therefore, the statement that "max assist of 2" is a Total Assist or 1 is true.Rate this question:
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- 10.
True or False There is a form to use during your shift to document level of assistance needed in all categories so that you can remember what the patient did and how much assistance was needed. This form is not part of the medical record and can be tossed at the end of your shift. The form was requested by one of the Rehab Aides to insure accuracy. Referring to your notes will help to accurately communicate the level of assistance to the nurse at the end of your shift.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
During a shift, there is a form available to document the level of assistance needed by the patient in all categories. This form is not considered a part of the medical record and can be discarded at the end of the shift. It was requested by a Rehab Aide to ensure accuracy. Referring to these notes will help in accurately communicating the level of assistance provided to the nurse at the end of the shift.Rate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
ProProfs Editorial Team -
Jun 05, 2014Quiz Created by
Rhciquiz
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