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

Who is most likely to experience friction skin damage?

1. Individuals with thick skin

2. Anyone with a recent wound

3. People with fragile/macerated skin

4. Those with a healthy skincare routine

The correct answer is: People with fragile/macerated skin

The correct choice identifies people with fragile or macerated skin as the most likely to experience friction skin damage. This type of skin is typically thinner and more vulnerable, making it more susceptible to injury from friction. When the skin is fragile, even normal movements can lead to damage due to the shear forces that occur between layers of skin and surfaces. Macerated skin is caused by prolonged exposure to moisture, leading to a breakdown of the skin barrier and making it softer and weaker. In this condition, the skin is less resilient against friction, creating an increased risk of skin damage, particularly in areas where friction is common, such as in skin folds or where devices may be placed. In contrast, individuals with thick skin, those with a recent wound, or people maintaining a healthy skincare routine typically have more robust defenses against friction. Thick skin is generally more resilient, while a healthy skincare routine can help maintain skin integrity and elasticity. Recent wounds, while they may be sensitive, are generally protected by scab formation or healing processes that prevent damage unless exposed to friction directly.