Free FIM Locomotion 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?

Accepted Answer

Modified Independence

Answer

'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?

Accepted Answer

Minimal Assistance

Answer

'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?

Accepted Answer

Moderate Assistance

Answer

'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?

Accepted Answer

Modified Independence

Answer

'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?

Accepted Answer

Modified Independence

Answer

'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.

FIM - Functional Independence Measure Practice Test

FIM - Functional Independence Measure Practice Test

Free FIM Locomotion Questions and Answers