A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
"The higher the score, the higher the pressure injury risk."
The client's age is part of the measurement."
"Each element has a range from one to five points."
"The scale measures six elements."
The Correct Answer is D
A. "The higher the score, the higher the pressure injury risk.": The Braden Scale measures pressure injury risk, but a higher score indicates a lower risk of developing a pressure injury.
B. "The client's age is part of the measurement.": The client’s age is not a direct factor measured by the Braden Scale.
C. "Each element has a range from one to five points.": Each element in the Braden Scale is scored from 1 to 4 points. A score of 1 indicates the highest level of impairment for that element, while a score of 4 indicates the least impairment.
D. "The scale measures six elements.":
The Braden Scale evaluates six elements: Sensory perception, Moisture, Activity, Mobility, Nutrition and Friction/shear. These elements are critical for assessing a client’s risk of developing pressure injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Increase intake of vitamin B12":
Vitamin B12 is important for various bodily functions, including the health of nerves and red blood cells, but it is not directly associated with osteoporosis prevention. Calcium and vitamin D are more critical nutrients for bone health.
B. "Walk for 30 minutes three to five times each week":
Weight-bearing exercises, such as walking, are beneficial for preventing osteoporosis. Weight-bearing activities stimulate bone formation and help maintain bone density. Regular walking for 30 minutes, three to five times per week, can contribute to overall bone health and reduce the risk of osteoporosis.
C. "Perform water aerobics three times each week":
While water aerobics is a beneficial exercise for cardiovascular health and joint flexibility, it is not as effective as weight-bearing exercises for preventing osteoporosis. Weight-bearing activities put stress on bones, promoting bone density.
D. "Maintain a lean body mass":
Maintaining a healthy body weight and lean body mass is important for overall health, but it is not a direct preventive measure for osteoporosis. Weight-bearing exercises and adequate intake of calcium and vitamin D are more specific recommendations for preventing osteoporosis.
Correct Answer is B
Explanation
"Most people are scared their first time in a health care facility":
While this statement normalizes the client's feelings by suggesting that many people feel scared initially, it might not directly address the client's specific concerns or provide the opportunity for a personalized discussion about their stay.
"We can discuss what you can expect during your stay":
This statement acknowledges the client's anxiety and opens the door for a conversation about the client's concerns. It provides an opportunity for the nurse to offer information, address specific worries, and offer support, fostering a sense of control for the client.
"You have nothing to worry about. Everything will be fine":
This statement, though well-intentioned, may come across as dismissive and overly optimistic. It might not validate the client's feelings or offer the opportunity for the client to express and discuss their concerns.
"Why are you feeling scared about being in this facility?":
While open-ended questions can help explore the client's feelings, in this context, it might be better to initially offer information and support before delving into the specific reasons for the client's anxiety. This allows the nurse to establish rapport and provide reassurance first.
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