Free FIM Sphincter Control Questions and Answers

Question 1

A patient can manage their bladder function independently most of the time but occasionally needs help to set up a catheter. What is their FIM level for bladder management?

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. In this case, needing occasional help to set up a catheter, even if otherwise independent, indicates a modification to their independence, often due to a device or a specific setup requirement.

Question 2

A patient uses a colostomy bag independently but needs help to clean and replace it twice a day. What is their FIM level for bowel management?

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. While the patient uses the colostomy bag independently for its primary function, needing help to clean and replace it twice a day represents a significant portion of the overall bowel management task, requiring substantial physical assistance.

Question 3

If a patient has occasional incontinence but manages bladder control with a device, what is their FIM score for bladder management?

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. Managing bladder control with a device due to occasional incontinence falls under modified independence because a device is necessary for successful completion, even if no physical help is needed.

Question 4

A patient needs verbal reminders to take their medication for bowel management but performs all tasks independently once reminded. What is their FIM level for bowel management?

Accepted Answer

Supervision

Answer

'Supervision' in FIM means the patient requires no physical help but needs verbal cues, encouragement, or setup assistance to complete the task safely. Needing verbal reminders for medication, even if performing all other tasks independently, indicates a need for oversight or prompting, which is the definition of supervision.

Question 5

A patient needs physical assistance to change absorbent pads due to incontinence but manages other bladder management tasks independently. What is their FIM score for bladder management?

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. Needing physical assistance only to change absorbent pads, while managing other bladder tasks independently, indicates a small amount of physical help, fitting the criteria for minimal assistance.

FIM - Functional Independence Measure Practice Test

FIM - Functional Independence Measure Practice Test

Free FIM Sphincter Control Questions and Answers