FIM FIM Levels of Assistance 2

Question 1

The FIM uses a scale that ranges from which minimum and maximum scores per item?

Accepted Answer

1 to 7

Answer

Each FIM item is scored on a 7-point ordinal scale from 1 (Total Assist) to 7 (Complete Independence); a score of 0 is not used.

Question 2

Which two FIM levels fall under the category of 'No Helper Needed'?

Accepted Answer

7 and 6

Answer

Levels 7 (Complete Independence) and 6 (Modified Independence) both indicate the patient performs the task without another person; levels 1–5 require a helper.

Question 3

Which FIM levels are grouped under 'Complete Dependence,' meaning the patient cannot perform the task without substantial helper effort?

Accepted Answer

1 and 2

Answer

Levels 1 (Total Assist) and 2 (Maximal Assist) are classified as Complete Dependence because the helper provides 50% or more of the total effort.

Question 4

A patient performing a wheelchair-to-bed transfer takes more than twice the expected time but requires no physical assistance. Which FIM level applies?

Accepted Answer

Modified Independence (6)

Answer

Modified Independence (Level 6) is assigned when the patient is independent but takes excessive time, uses an assistive device, or has safety concerns.

Question 5

Which FIM levels make up the 'Modified Dependence' category, where a helper is needed but the patient contributes meaningfully?

Accepted Answer

3, 4, and 5

Answer

Levels 3 (Moderate Assist), 4 (Minimal Assist), and 5 (Supervision) form the Modified Dependence category; a helper is required, but the patient does 50% or more of the task (levels 3–4) or needs only non-contact assistance (level 5).

FIM - Functional Independence Measure Practice Test

FIM - Functional Independence Measure Practice Test

FIM FIM Levels of Assistance 2