RN FIM Competency 2nd Qtr

Based on the given information, Mrs. P has a delay in response and requires prompting to follow directions about her basic daily needs. However, she is able to understand more than just simple statements, indicating that she can comprehend conversations and directions about basic daily needs and ideas to some extent. The level of assistance needed is considered moderate because Mrs. P understands these conversations and directions about basic daily needs and ideas between 50-74% of the time.

Based on the information provided, Mrs. P communicates using one-word sentences and gestures. Staff members are usually able to understand her basic information, but when they need to prompt her to repeat herself more than 50% of the time, she becomes frustrated and waves them off or laughs and cries inappropriately. This indicates that she requires maximal assistance, as she can only express basic needs using single words or gestures and needs prompting more than 50% of the time.

The explanation for the given answer is that Mrs. P requires moderate assistance and some direction to solve routine problems. She is able to solve these problems 50-74% of the time, indicating that she has some level of skill and understanding in problem-solving. However, she still needs verbal cues and prompts to come to an appropriate solution, suggesting that she may struggle with certain aspects of the problem or require guidance to reach the correct answer.

Nursing is responsible for documenting the level of assistance provided for bowel and bladder functions as well as the number of accidents in the MEDITECH system every shift throughout the patient's admission. This documentation is not limited to just the FIM days.

Mrs. P requires a helper to pull down her pants and adult brief when she is in a standing position. However, she is able to clean herself. The helper is also responsible for pulling up both her pants and the adult brief. This indicates that Mrs. P requires a high level of assistance, but she is still able to participate in the activity to some extent. Therefore, the appropriate level of assistance needed would be Max Assist - 2.

Mrs. P is able to lift her right leg and perform some aspects of lower body dressing on her own, such as pulling up her underwear and pants while in bed. However, she is unable to lift her left leg and requires assistance from a helper to thread her underwear and pants. Additionally, a helper applies and removes her shoes and socks. Since Mrs. P performs less than 50% of lower body dressing, she requires a maximum level of assistance, which is indicated by the answer choice "Max Assist - 2".

Mrs. P is able to walk into the shower using her quad cane, but she requires assistance to maintain her balance. She is able to sit onto a shower bench with assistance, indicating that she has some ability to perform the transfer independently. However, she requires assistance to stand up and walk out of the shower area, indicating that she needs some level of assistance for the transfer. Therefore, the appropriate level of assistance needed for Mrs. P is Min Assist - 4.

Mrs. P is unable to perform the task of removing her bra independently due to her pain and limited mobility in her right upper extremity. She requires complete assistance from a helper to accomplish this task. Therefore, the level of assistance needed is Dependent/Total Assist - 1.

Based on the given information, Mrs. P is emotionally labile and inappropriate the majority of the time. She requires redirection more than 50% of the time, indicating that she needs maximal direction. Additionally, the statement mentions that Mrs. P is appropriate less than 50% of the time, which falls within the range of 25-49%. Therefore, the correct level of assistance needed for Mrs. P is 2 - Maximal direction needed. Patient is appropriate 25-49% of the time.

The patient, Mrs. P, recognizes her husband and children, indicating that she has some level of memory function. However, she needs occasional reminders about her surroundings and how to use a call light, suggesting that she requires minimal assistance. Additionally, the fact that she recognizes and remembers 75-90% of the time aligns with the level of assistance described in option 4.

The correct answer is Mod Assist - 3 because Mrs. P requires some lifting assistance when transferring from the wheelchair to the bed. Although she does the majority of the work, she still needs help with the transfer, indicating a moderate level of assistance.

If the patient is unable to perform half or more of the effort, it means that they require significant assistance in completing the task. In such cases, it is appropriate to choose either a 2-Max assist or 1-Total assist, indicating that the patient needs either maximum assistance or complete assistance to perform the task. Therefore, the statement "If the patient is unable to perform half or more of the effort then you must choose either a 2-Max assist or 1-Total Assist" is true.

If a patient is able to do their own intermittent self catheterization, but you have to gather the equipment for him/her, then the FIM score would not be a 7 - Total independence. The FIM score would be lower because the patient is not able to gather the equipment independently.

Based on the given information, Mrs. P is able to feed herself with her right hand but needs assistance in opening milk containers and removing lids. This indicates that she requires supervision or set up to ensure that the containers are opened and lids are removed properly before she can independently feed herself. Therefore, the level of assistance needed is 5 or Supervision/Set up.

The correct answer is 2 or Max Assist because Mrs. P requires verbal cues and assistance to initiate and complete the bathing task. Although she can wash her chest, abdomen, and left upper leg independently, she still needs a helper to finish the rest of the bathing process. This indicates that she is able to perform some parts of the task with assistance, but requires maximum assistance for the overall bathing activity.

The correct answer is Mod Assist - 3 because Mrs. P requires verbal assistance and uses her quad cane to transfer onto the toilet seat. She also needs a slight amount of lifting assistance when rising from the toilet. This level of assistance indicates that she is able to perform most of the task with some help and supervision.

The answer "Dependent - 1" is the correct choice because the scenario describes Mrs. P as needing assistance to change her brief when she is incontinent. This indicates that she is unable to manage this task independently and is dependent on a helper for assistance.

The patient is dependent on the helper for assistance with bowel movements. She is aware of when she needs to have a bowel movement but still needs to wear a brief just in case. On the first day of admission, she became incontinent and the helper had to change her brief and clean her. This indicates that the patient is unable to independently manage her bowel movements and requires complete assistance, making the level of assistance needed Dependent - 1.

Mrs. P requires minimal assistance for grooming tasks. Although she is able to wash her face and hands independently, she needs prompting from the helper. She also requires assistance in finding the toothbrush and initiating the task of brushing her teeth. However, she is able to brush her teeth on her own once prompted. The only task she needs help with is brushing her hair. Therefore, the level of assistance needed for grooming is minimal assistance (Min Assist) - 4.

Adult Briefs/Diapers are not considered undergarments/underwear. They are specifically designed for individuals with incontinence issues and are used as a form of protection and containment for urinary or fecal incontinence. When scoring for Toileting, the assessment/observation should focus on the individual's ability to independently use the toilet or perform toileting tasks, rather than the use of adult briefs/diapers. Therefore, the statement is false.