What is the Functional Independence Measure (FIM) used for?

• A. Assess cognitive function only
• B. Measure social integration
• C. Used to determine overall degree of disability experienced by adults; 7-point scale; 18 areas; tracks changes over time
• D. Evaluate financial independence

Answer: (C)

The Functional Independence Measure focuses on how independently a person can perform a broad range of daily activities and cognitive tasks, and it combines that into a single score that reflects overall disability. It uses a 7-point scale for each of 18 areas, covering both motor and cognitive aspects, so clinicians can see not only how independent someone is now but also how their independence changes over time. That makes it ideal for assessing the overall degree of disability in adults and for tracking progress during rehab or after discharge planning. It’s not limited to cognitive function alone, nor specifically about social integration or financial independence, which is why the description that highlights an overall disability measure across 18 areas on a 7-point scale and tracking change over time is the best fit.