FIM FIM Scoring System 2

Question 1

In the FIM framework, 'no helper' levels include scores of?

Accepted Answer

6 and 7

Answer

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?

Accepted Answer

Use caregiver or nurse report combined with clinical judgment

Answer

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?

Accepted Answer

Typical performance over a defined assessment period

Answer

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?

Accepted Answer

3, 4, and 5

Answer

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)?

Accepted Answer

Patient completes the task safely, within reasonable time, without any modification

Answer

FIM Level 7 (Complete Independence) requires the patient to perform the task safely, in a timely manner, without any adaptive device or modification.

FIM - Functional Independence Measure Practice Test