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

Which score in the Braden scale indicates a patient has very limited mobility?

1. 1

2. 2

3. 3

4. 4

The correct answer is: 2

In the context of the Braden scale, a score of 1 indicates a patient has very limited mobility. The Braden scale evaluates a patient's risk for developing pressure ulcers, assessing various factors such as sensory perception, moisture, activity, mobility, nutritional status, and friction/shear. A score of 1 specifically denotes that the individual is completely immobile, meaning they cannot change positions or relieve pressure without assistance. This understanding is critical for identifying patients who are at the highest risk for skin breakdown and pressure ulcers due to their inability to move independently. Scores of 2, 3, and 4 represent varying levels of mobility, where a score of 2 indicates a patient is very limited in mobility but still able to make some movements, usually with assistance. Scores of 3 and 4 reflect progressively greater mobility and independence. Therefore, a score of 1 is the most accurate indicator for very limited mobility.