Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What nutrient-related sign would give a score of 1 in the nutrition category of the Braden scale?

1. Consumes a well-balanced diet

2. Rarely eats more than ½ of food offered

3. Gains adequate calories from TPN

4. Eats consistently throughout the day

The correct answer is: Rarely eats more than ½ of food offered

A score of 1 in the nutrition category of the Braden scale indicates a high risk for pressure ulcers, suggesting that the individual's nutritional intake is inadequate. In this context, the option that specifies the individual rarely eats more than half of the food offered directly reflects a clear deficiency in caloric and nutritional intake. This inconsistency in food consumption can lead to insufficient energy and nutrient availability for tissue maintenance and repair, which are critical for skin health and integrity. In contrast, a well-balanced diet, adequate caloric intake from total parenteral nutrition (TPN), or consistent eating throughout the day imply sufficient nutrient consumption or delivery, enhancing the body’s ability to maintain skin health and resist injury. These options would typically score higher than 1 on the Braden scale as they reflect better nutritional status, which in turn reduces the risk of pressure ulcers. In evaluating the Braden scale, recognizing the nuances in dietary habits and their implications for skin and tissue integrity is crucial for effective patient care.