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 C

Explanation

Choice A reason: A skilled nursing facility is not the best option for this client because it provides long-term care for clients who need 24-hour nursing supervision and assistance with activities of daily living, but not intensive rehabilitation.

Choice B reason: Home care services are not the best option for this client because they provide intermittent care for clients who are able to manage most of their needs at home, but not comprehensive rehabilitation.

Choice C reason: A rehabilitation facility is the best option for this client because it provides short-term care for clients who need intensive physical, occupational, and/or speech therapy to restore or improve their function and independencE.

Choice D reason: A sub-acute care facility is not the best option for this client because it provides intermediate care for clients who need less intensive medical and nursing care than in an acute hospital, but not specialized rehabilitation.

A. Proactive prevention B. Secondary prevention C. Tertiary prevention D. Primary prevention

Correct Answer is D

Explanation

Choice A reason: Proactive prevention is not a level of prevention, but a type of prevention that involves anticipating and avoiding potential health problems before they occur.

Choice B reason: Secondary prevention is a level of prevention that involves screening, early detection, and prompt treatment of health problems to prevent complications and limit disability.

Choice C reason: Tertiary prevention is a level of prevention that involves rehabilitation, restoration, and support of health and function after a health problem has caused damage or disability.

Choice D reason: Primary prevention is a level of prevention that involves health promotion and protection of health and well-being by reducing or eliminating risk factors and preventing the onset of disease or injury.

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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?

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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?