FIM FIM Levels of Assistance

Question 1

A patient completes all steps of upper extremity dressing independently, on time, and without any adaptive equipment. Which FIM level should be assigned?

Accepted Answer

Complete Independence (7)

Answer

Modified Independence (6)

Answer

Supervision (5)

Answer

Minimal Assist (4)

Question 2

At FIM Level 4 (Minimal Assist), what minimum percentage of the task must the patient perform?

Accepted Answer

75%

Answer

50%

Answer

25%

Answer

90%

Question 3

A clinician provides only verbal cues and standby guarding during a patient's shower but makes no physical contact. Which FIM level applies?

Accepted Answer

Supervision (5)

Answer

Minimal Assist (4)

Answer

Modified Independence (6)

Answer

Moderate Assist (3)

Question 4

Which FIM level indicates that the helper must perform 75% or more of the task because the patient contributes less than 25%?

Accepted Answer

Total Assist (1)

Answer

Maximal Assist (2)

Answer

Moderate Assist (3)

Answer

Minimal Assist (4)

Question 5

A patient uses a long-handled sponge to bathe independently due to limited trunk flexibility but requires no assistance from another person. Which FIM level is correct?

Accepted Answer

Modified Independence (6)

Answer

Complete Independence (7)

Answer

Supervision (5)

Answer

Minimal Assist (4)

Question 6

At FIM Level 3 (Moderate Assist), what percentage of effort does the helper provide?

Accepted Answer

25–49%

Answer

Less than 25%

Answer

75% or more

Answer

50–74%

Question 7

Which FIM level is assigned when the helper performs 50–74% of the task because the patient can only contribute 25–49% of the effort?

Accepted Answer

Maximal Assist (2)

Answer

Moderate Assist (3)

Answer

Total Assist (1)

Answer

Minimal Assist (4)