Certified Wound Ostomy Nurse (CWON) Practice Test

What scoring indicates a patient is completely immobile regarding mobility on the Braden Scale?

1. 1

2. 2

3. 3

4. 4

The correct answer is: 1

On the Braden Scale, a score of 1 signifies that a patient is completely immobile. The scale is designed to assess a patient’s risk of developing pressure ulcers, with various factors being evaluated including sensory perception, moisture, activity, mobility, nutrition, and friction or shear. In the context of mobility, a score of 1 indicates that the patient is unable to change positions or engage in any movement independently. This understanding is critical in clinical settings, as it emphasizes the need for intensive nursing interventions to prevent skin breakdown and other complications associated with immobility. A score of 1 serves as a clear marker for healthcare professionals indicating a need for high-level support and preventive strategies, such as frequent repositioning, the use of specialized mattresses, and regular skin assessments to ensure optimal patient care.