FIM FIM Scoring System 2 — Questions and Answers
Question 1: In the FIM framework, 'no helper' levels include scores of?
- 1 and 2
- 5, 6, and 7
- 6 and 7 (Correct answer)
- 4, 5, 6, and 7
Correct answer: 6 and 7
Only FIM Levels 6 (Modified Independence) and 7 (Complete Independence) are in the 'no helper' category.
Question 2: When a FIM rater cannot directly observe a patient performing a task, how should the score be determined?
- Assign a score of 1
- Ask the patient to estimate
- Use caregiver or nurse report combined with clinical judgment (Correct answer)
- Leave it blank
Correct answer: Use caregiver or nurse report combined with clinical judgment
When direct observation is not possible, the FIM rater may use reports from nursing staff or caregivers to determine the appropriate score.
Question 3: A FIM score is based on the patient's performance during which time period?
- Best single performance
- Average over 1 week
- Typical performance over a defined assessment period (Correct answer)
- Last 24 hours only
Correct answer: Typical performance over a defined assessment period
FIM scoring reflects the patient's typical performance over the assessment period, not a best or worst case.
Question 4: In FIM, 'modified dependence' refers to which score levels?
- 1 and 2
- 3, 4, and 5 (Correct answer)
- 2, 3, and 4
- 5, 6, and 7
Correct answer: 3, 4, and 5
FIM Levels 3, 4, and 5 are collectively called 'modified dependence' — the patient does 50%+ but needs some helper assistance.
Question 5: Which of the following correctly describes FIM Level 7 (Complete Independence)?
- Patient needs occasional reminders
- Patient completes the task safely, within reasonable time, without any modification (Correct answer)
- Patient uses an adaptive device
- Patient needs standby assistance
Correct answer: Patient completes the task safely, within reasonable time, without any modification
FIM Level 7 (Complete Independence) requires the patient to perform the task safely, in a timely manner, without any adaptive device or modification.
Question 6: 'Complete dependence' on the FIM refers to which score levels?
- 1 only
- 1 and 2 (Correct answer)
- 1, 2, and 3
- 1, 2, 3, and 4
Correct answer: 1 and 2
FIM Levels 1 (Total Assistance) and 2 (Maximal Assistance) are classified as 'complete dependence' where the helper does 50% or more of the effort.
FIM FIM Scoring System 2
In the FIM framework, 'no helper' levels include scores of?