FIM FIM Scoring System 1 — Questions and Answers
Question 1: What is the total score range possible on the complete FIM assessment?
- 0-100
- 18-126 (Correct answer)
- 1-126
- 18-144
Correct answer: 18-126
The FIM has 18 items each scored 1-7, so the total range is 18 (lowest) to 126 (highest).
Question 2: How many total items does the FIM assessment contain?
- 13
- 16
- 18 (Correct answer)
- 21
Correct answer: 18
The FIM contains 18 items: 13 motor items and 5 cognitive items.
Question 3: In FIM, a score of 6 (Modified Independence) may be assigned when the patient?
- Needs physical assistance
- Requires supervision
- Uses an assistive device independently (Correct answer)
- Needs verbal cues from a helper
Correct answer: Uses an assistive device independently
FIM Level 6 (Modified Independence) is assigned when the patient uses an assistive device, takes extra time, or has safety concerns but does not need a helper.
Question 4: Which FIM level represents the boundary between 'helper' and 'no helper' categories?
- Level 4 and 5
- Level 5 and 6 (Correct answer)
- Level 6 and 7
- Level 3 and 4
Correct answer: Level 5 and 6
FIM Levels 1-5 require a helper, while Levels 6-7 require no helper; therefore the boundary is between Levels 5 and 6.
Question 5: The FIM motor subscale contains how many items?
- 10
- 11
- 12
- 13 (Correct answer)
Correct answer: 13
The FIM motor subscale contains 13 items covering self-care, sphincter control, transfers, and locomotion.
Question 6: At FIM Level 3 (Moderate Assistance), the helper provides what percentage of physical effort?
- Less than 25%
- 25-49% (Correct answer)
- More than 50%
- 75% or more
Correct answer: 25-49%
At FIM Level 3 (Moderate Assistance), the helper provides 25-49% of the effort while the patient provides 50% or more.
What is the total score range possible on the complete FIM assessment?