FIM FIM Assessment and Administration 1 — Questions and Answers
Question 1: The FIM is designed to be completed by?
- Physicians only
- Patients themselves
- An interdisciplinary team or a trained clinician (Correct answer)
- Family members only
Correct answer: An interdisciplinary team or a trained clinician
The FIM is typically completed by a trained interdisciplinary team or an individual clinician trained in FIM administration.
Question 2: The FIM assessment is typically administered at which time points during rehabilitation?
- Admission only
- Discharge only
- Admission and discharge (Correct answer)
- Weekly throughout stay
Correct answer: Admission and discharge
FIM is standardly administered at admission and discharge to measure functional status and improvement during rehabilitation.
Question 3: In the FIM system, 'WeeFIM' refers to?
- A faster version for acute care
- A version for children (Correct answer)
- A version for cognitive impairment only
- A simplified 5-item version
Correct answer: A version for children
WeeFIM is the pediatric version of the FIM, designed for children ages 6 months to 7 years or up to 12 with developmental delay.
Question 4: The FIM is part of which larger data collection system used in US inpatient rehabilitation facilities?
- OASIS
- IRF-PAI (Inpatient Rehabilitation Facility Patient Assessment Instrument) (Correct answer)
- MDS (Minimum Data Set)
- CAHPS
Correct answer: IRF-PAI (Inpatient Rehabilitation Facility Patient Assessment Instrument)
The FIM instrument is embedded within the IRF-PAI, which is used for Medicare payment and quality reporting in US inpatient rehabilitation facilities.
Question 5: Who developed the FIM instrument?
- American Physical Therapy Association
- Uniform Data System for Medical Rehabilitation (UDSMR) (Correct answer)
- American Occupational Therapy Association
- The Joint Commission
Correct answer: Uniform Data System for Medical Rehabilitation (UDSMR)
The FIM was developed by the Uniform Data System for Medical Rehabilitation (UDSMR) as a standardized measure of functional disability.
Question 6: The FIM assesses burden of care rather than?
- Independence level
- Physical capability in ideal conditions (Correct answer)
- Safety
- Daily performance
Correct answer: Physical capability in ideal conditions
The FIM measures the actual burden of care (what assistance is needed in daily life), not maximum capability or performance under ideal conditions.
The FIM is designed to be completed by?