The 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."
The Correct Answer is A
Choice A reason: "It is a tool that is used to determine your maximum level of self-sufficiency.” This nursing response is appropriate because it accurately describes the purpose of the FIM, which is a standardized instrument that measures the client's level of independence in performing 18 activities of daily living and mobility tasks.
Choice B reason: "It is a test that determines which activities you feel most comfortable performinG.” This nursing response is not appropriate because it does not describe the purpose of the FIM, which is not a test that measures the client's comfort level, but rather their functional ability.
Choice C reason: "It is a tool used by insurance companies to determine qualifications for medical reimbursement." This nursing response is not appropriate because it does not describe the purpose of the FIM, which is not a tool that determines the client's eligibility for insurance coverage, but rather their functional status and progress.
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." This nursing response is not appropriate because it does not describe the purpose of the FIM, which is not a tool that evaluates the client's need for home care services, but rather their functional capacity and improvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Asking how they are managing at home is an appropriate action by the nurse because it shows interest and respect for the client's situation, needs, and preferences.
Choice B reason: Going automatically into the client's bedroom is not an appropriate action by the nurse because it violates the client's privacy and autonomy. The nurse should ask for permission before entering any room in the client's homE.
Choice C reason: Arranging mutual future visits is an appropriate action by the nurse because it demonstrates collaboration and continuity of care with the client.
Choice D reason: Thanking the client for arranging a home visit is not an appropriate action by the nurse because it implies that the nurse is doing a favor for the client, rather than providing professional servicE.
Choice E reason: Sitting down and discussing with the client and family members is an appropriate action by the nurse because it facilitates communication, rapport, and education with the client and their support system.
Correct Answer is B
Explanation
Choice A reason: Mitral valve disease is not a disorder that makes clients especially vulnerable to ozone effects because it is a condition that affects the heart valve that regulates blood flow between the left atrium and left ventricle, not the lungs or airways.
Choice B reason: Asthma is a disorder that makes clients especially vulnerable to ozone effects because it is a condition that causes inflammation, narrowing, and mucus production in the airways, which can worsen when exposed to ozone, a gas that irritates and damages lung tissuE.
Choice C reason: Nasal polyps are not a disorder that makes clients especially vulnerable to ozone effects because they are benign growths that occur in the lining of the nose or sinuses, not the lungs or airways.
Choice D reason: Seasonal allergies are not a disorder that makes clients especially vulnerable to ozone effects because they are immune system reactions to certain substances such as pollen or mold, not ozone, which is a chemical pollutant.
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