A client is scheduled for a functional assessment using the Functional Independence Measure (FIM). The client asks the nurse, "What is the purpose of the FIM?" Which nursing response is appropriate?

It is a tool that is used to determine your maximum level of self-sufficiency.

It is a test that determines which activities you feel most comfortable performing.

It is a tool used by insurance companies to determine qualifications for medical reimbursement.

It is a tool that is used to assess what services you will need a home health aide to perform for you.

Answer and Explanation

The Correct Answer is A

Choice A reason: It is a tool that is used to determine your maximum level of self-sufficiency as the appropriate nursing response, as it accurately describes the purpose and function of the FIM. The FIM measures how much assistance you need to perform 18 activities of daily living, such as eating, dressing, toileting, walking, and communicating. The FIM helps to evaluate your functional status, monitor your progress, and plan your rehabilitation goals and interventions. ¹²³

Choice B reason: It is a test that determines which activities you feel most comfortable performing is not an appropriate nursing response, as it does not reflect the objective and standardized nature of the FIM. The FIM is not a subjective or self-reported measure of your preferences or comfort level, but rather an observational and rating scale that assesses your actual performance and independence in various tasks. The FIM uses a 7-point ordinal scale that ranges from 1 (total assistance) to 7 (complete independence) and requires trained and certified raters to administer and score it. ¹²³

Choice C reason: It is a tool used by insurance companies to determine qualifications for medical reimbursement is not an appropriate nursing response, as it does not capture the primary purpose and benefit of the FIM. The FIM is not a financial or administrative tool that determines your eligibility or coverage for medical services, but rather a clinical and research tool that measures your functional outcomes and quality of care. The FIM provides a uniform system of measurement for disability based on the International Classification of Impairment, Disabilities, and Handicaps and allows for comparison and evaluation of different rehabilitation programs and settings. ¹²³

Choice D reason: It is a tool that is used to assess what services you will need a home health aide to perform for you is not an appropriate nursing response, as it does not reflect the comprehensive and multidimensional scope of the FIM. The FIM is not a specific or limited tool that assesses only your home care needs or dependence on others, but rather a general and broad tool that assesses your functional abilities and disabilities in various domains and environments. The FIM covers both motor and cognitive aspects of functioning, such as comprehension, expression, social interaction, problem-solving, and memory. The FIM can be used with all diagnoses within rehabilitation and can be applied across different levels and settings of care.

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Correct Answer is D

Explanation

Choice A reason: Developing a survey on teen pregnancies is not a priority intervention for a public health nurse who is assigned to a new community. This is a specific topic that may not be relevant or important for the whole population. A survey also requires time and resources to design, distribute, and analyze.

Choice B reason: Holding a focus group to discuss immunizations is not a priority intervention for a public health nurse who is assigned to a new community. This is a specific topic that may not be representative of the community's health needs and concerns. A focus group also requires recruitment, facilitation, and interpretation of the participants' views.

Choice C reason: Interviewing the elderly at the senior center is not a priority intervention for a public health nurse who is assigned to a new community. This is a specific group that may not reflect the diversity and characteristics of the whole population. An interview also requires consent, rapport, and recording of the responses.

Choice D reason: Performing a windshield survey is a priority intervention for a public health nurse who is assigned to a new community. This is a general method that allows the nurse to observe and assess various aspects of the environment that affect the health and well-being of the population. A windshield survey also requires minimal resources and can be done quickly and easily. A windshield survey is a method of assessing the health needs and resources of a community by driving or walking around and observing various aspects of the environment, such as housing, transportation, services, and safety. This is a priority intervention for a public health nurse who wants to get a comprehensive overview of the community and identify its strengths and weaknesses.

A. "Move objects away from the client." B. "Restrain the client." C. "Place the client on his back." D. "Insert a padded tongue blade into the client's mouth."

Correct Answer is A

Explanation

Choice A reason: "Move objects away from the client." This instruction should be included in the teaching. It is a safety measure that can prevent injury or harm to the client during a seizure. Moving objects away from the client can create more space and avoid contact with sharp, hard, or hot items.

Choice B reason: "Restrain the client." This instruction should not be included in the teaching. It is a harmful action that can worsen or prolong the seizure. Restraining the client can interfere with their natural movements, cause pain or discomfort, or damage their muscles or joints.

Choice C reason: "Place the client on his back." This instruction should not be included in the teaching. It is a dangerous position that can compromise the client's airway and breathing. Placing the client on his back can increase the risk of choking, aspiration, or suffocation.

Choice D reason: "Insert a padded tongue blade into the client's mouth." This instruction should not be included in the teaching. It is an outdated and ineffective practice that can cause more harm than good. Inserting a padded tongue blade into the client's mouth can damage their teeth, gums, tongue, or lips, or block their airway. Contrary to popular belief, it is impossible for a person to swallow their tongue during a seizure.

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A client is scheduled for a functional assessment using the Functional Independence Measure (FIM). The client asks the nurse, "What is the purpose of the FIM?" Which nursing response is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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