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 D

Explanation

Choice A reason: A public health nurse is a nurse who works to promote and protect the health of populations and communities, not specific workplaces.

Choice B reason: A community nurse specialist is a nurse who has advanced education and training in a specific area of community health, such as mental health, gerontology, or maternal-child healtH.

Choice C reason: A nurse clinician is a nurse who has expertise in a clinical area of nursing practice, such as critical care, oncology, or wound carE.

Choice D reason: An occupational health nurse is a nurse who works to prevent and treat work-related injuries and illnesses, as well as promote the health and safety of workers and the environment.

A. Plan to have the client lay down for 1 hr after meals. B. Instruct the client to use pursed-lip breathing. C. Encourage the client to use the upper chest for respiration. D. Restrict the client's fluid intake to less than 1 Vday.

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

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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 the
purpose of the FIM?" Which nursing response is appropriate?