FIM

Question 1

FIMs consists of __ items that can be used to rate the

severity of disability

Answer 1

18

Question 2

FIM score of 7 =

Answer 2

Independent (I)

Question 3

FIM score of 6=

Answer 3

Modified Independent (Mod I)

Question 4

FIM score of 5=

Answer 4

5 = Supervision (S, Setup, Standby A)

Question 5

FIM score of 4=

Answer 5

4 = Minimum Assistance (Min A)

Question 6

FIM score of 3=

Answer 6

3 = Moderate Assistance (Mod A)

Question 7

FIM score of 2=

Answer 7

2 = Maximum Assistance (Max A)

Question 8

FIM score of 1=

Answer 8

1 = Dependent/Total Assistance (Dep, Total A)

Question 9

FIM score of 0=

Answer 9

0 = Did not Occur

Question 10

FIM score 1: Pt expends less than __

of the effort, OR requires more than one person to assist. Total assistance is required.

Answer 10

25%

Question 11

FIM score 2 = Patient completes

between__ and ___ of task;

Answer 11

25 – 49%

Question 12

What FIM score is this: Patient needs assistance both lifting and lowering
during a transfer?

Answer 12

2

Question 13

FIM score of (3) = Patient completes

between __ and ___

Answer 13

50 – 74%

Question 14

FIM score of 4) = Patient completes more

than __ of task

Answer 14

75%

Question 15

FIM score of 4: Assisted through ___ hands on assistance

Answer 15

incidental

Question 16

If you put your hands on the patient . . . They will

automatically be a __ (at least!)

Answer 16

4

Question 17

Modified Independent (6) = Can safely complete
task without caregiver given adaptive \_\_\_\_\_\_\_\_\_ or
extra \_\_\_\_ (3 x longer)

Answer 17

Equipment

Time