Free FIM Locomotion Questions and Answers — Questions and Answers
Question 1: A patient can walk more than 150 feet independently but uses a walker for stability. What is their FIM score for walking?
- Complete Independence
- Modified Independence (Correct answer)
- Supervision
- Minimal Assistance
Correct answer: Modified Independence
'Modified Independence' in FIM means the patient can perform the activity independently but requires an assistive device, takes more than a reasonable amount of time, or has safety concerns. Using a walker for stability, even when walking long distances, signifies the use of an assistive device, which categorizes the activity as modified independence.
Question 2: A patient can propel their wheelchair over 50 feet independently but needs assistance to go longer distances. What is their FIM level for wheelchair mobility?
- Minimal Assistance (Correct answer)
- Moderate Assistance
- Maximal Assistance
- Complete Independence
Correct answer: Minimal Assistance
'Minimal Assistance' in FIM means the patient performs 75% or more of the effort, and the helper provides less than 25% of the effort. If a patient can propel their wheelchair over 50 feet independently but needs assistance for longer distances, the assistance required is for a smaller portion of the overall mobility task, indicating minimal assistance.
Question 3: A patient can walk over 50 feet with physical help from another person. What is their FIM score for walking?
- Minimal Assistance
- Moderate Assistance (Correct answer)
- Maximal Assistance
- Total Assistance
Correct answer: Moderate Assistance
'Moderate Assistance' in FIM means the patient performs 50-74% of the effort, and the helper provides 26-50% of the effort. If a patient can walk over 50 feet with physical help from another person, this indicates that the helper is providing a significant portion of the effort, aligning with the definition of moderate assistance.
Question 4: A patient can climb one flight of stairs independently using a handrail but needs a rest halfway. What is their FIM level for stair climbing?
- Complete Independence
- Modified Independence (Correct answer)
- Minimal Assistance
- Supervision
Correct answer: Modified Independence
'Modified Independence' in FIM means the patient performs the activity independently but requires an assistive device, takes more than a reasonable amount of time, or has safety concerns. Using a handrail is considered an assistive device, and needing a rest halfway indicates that the activity takes more than a reasonable amount of time or involves a safety concern, thus classifying it as modified independence.
Question 5: A patient can navigate their wheelchair up a ramp independently but requires an assistive device for control. What is their FIM score for wheelchair mobility?
- Complete Independence
- Modified Independence (Correct answer)
- Supervision
- Minimal Assistance
Correct answer: Modified Independence
'Modified Independence' in FIM means the patient performs the activity independently but requires an assistive device, takes more than a reasonable amount of time, or has safety concerns. Requiring an assistive device for control, even when navigating a wheelchair up a ramp independently, means the activity is not performed without modification, thus falling under modified independence.
Free FIM Locomotion Questions and Answers
A patient can walk more than 150 feet independently but uses a walker for stability.
What is their FIM score for walking?