FIM FIM Transfers 2 — Questions and Answers
Question 1: When scoring FIM toilet transfers, which aspect is primarily evaluated?
- Bowel function
- The patient's ability to safely get on and off the toilet (Correct answer)
- Toileting hygiene
- Clothing management
Correct answer: The patient's ability to safely get on and off the toilet
FIM toilet transfer scoring focuses specifically on the physical act of safely getting on and off the toilet surface.
Question 2: A patient with a FIM transfer score of 3 (Moderate Assistance) performs what percentage of the transfer task?
- 25% or more but less than 50%
- 50% or more but less than 75% (Correct answer)
- 75% or more
- Less than 25%
Correct answer: 50% or more but less than 75%
FIM Level 3 (Moderate Assistance) means the patient performs 50% or more but less than 75% of the transfer task.
Question 3: If a patient's tub transfer is unsafe to perform, how should it be scored on the FIM?
- Score of 7 (not applicable)
- Score of 1 (Total Assistance) (Correct answer)
- Score of 0
- Left blank
Correct answer: Score of 1 (Total Assistance)
When a transfer cannot be performed safely, it is scored as 1 (Total Assistance) on the FIM, not left blank or scored 0.
Question 4: In FIM, the bed/chair/wheelchair transfer item specifically assesses moving between?
- Bed and floor
- Bed or chair and wheelchair (Correct answer)
- Wheelchair and toilet
- Chair and tub
Correct answer: Bed or chair and wheelchair
The FIM bed/chair/wheelchair transfer item evaluates the patient's ability to transfer between a bed or chair and a wheelchair.
Question 5: A patient with FIM transfer score of 2 (Maximal Assistance) contributes what percentage of effort?
- 75% or more
- 50-74%
- 25-49% (Correct answer)
- Less than 25%
Correct answer: 25-49%
FIM Level 2 (Maximal Assistance) means the patient contributes between 25% and 49% of the task effort while the helper provides more than half.
Question 6: In FIM transfers, which score indicates the patient is safe but requires more time than normal to complete the transfer?
- 7
- 6 (Correct answer)
- 5
- 4
Correct answer: 6
FIM score 6 (Modified Independence) allows for extra time or safety concerns while the patient still completes the transfer without a helper.
When scoring FIM toilet transfers, which aspect is primarily evaluated?