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."

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.” 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.

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Correct Answer is B

Explanation

Choice A rationale:

Planning to have the client lay down for 1 hour after meals is not an appropriate intervention for a client with COPD. It may increase the risk of aspiration and worsen their breathing difficulties.

Choice C rationale:

Encouraging the client to use the upper chest for respiration is not the best approach for a client with COPD. Pursed-lip breathing helps improve oxygen exchange and decreases air trapping, which is more effective in managing COPD.

Choice D rationale:

Restricting the client's fluid intake to less than 1 Vday is not a suitable intervention for a client with COPD. Dehydration can lead to thicker mucus, making it harder to breathe

A. Black tag B. Red tag C. Green tag D. Yellow tag

Correct Answer is B

Explanation

Choice A reason: A black tag is not an appropriate priority tag for this client because it indicates that the client is dead or has injuries that are incompatible with life and survival is unlikely even with treatment.

Choice B reason: A red tag is an appropriate priority tag for this client because it indicates that the client has life-threatening injuries that require immediate attention and treatment to survivE.

Choice C reason: A green tag is not an appropriate priority tag for this client because it indicates that the client has minor injuries that do not require immediate attention and treatment and can wait until the more urgent cases are handleD.

Choice D reason: A yellow tag is not an appropriate priority tag for this client because it indicates that the client has serious injuries that require attention and treatment within a short time, but can wait until the more critical cases are handleD.

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

Nursing Test Bank

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

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?