Certified Wound Ostomy Nurse (CWON) Practice Test

In the Braden Scale, what does a ranking of 1 in the friction and shear category indicate?

1. Moves feebly or requires minimum assistance

2. Moves in bed and chair independently

3. Requires moderate to maximum assistance in moving

4. Rarely slides down

The correct answer is: Requires moderate to maximum assistance in moving

A ranking of 1 in the friction and shear category of the Braden Scale indicates that the individual requires moderate to maximum assistance in moving. This score reflects a high risk level for pressure injury due to significant limitations in mobility and physical capability. When a person is assessed at this level, it suggests they are either unable to reposition themselves effectively or need considerable help when moving, which increases the likelihood of skin breakdown from friction and shear forces. Understanding this ranking is crucial for care providers, as it informs them to implement more frequent repositioning and to consider employing specialized support surfaces to alleviate these risks. Taking preventive measures becomes essential in this context to safeguard skin integrity and promote optimal outcomes for individuals with impaired mobility.