DSSSB 12 August 2024
Fundamental of Nursing
Easy
Which of the following is NOT a parameter of the Braden scale?
Appeared in: DSSSB 12 August 2024
Explanation
- The Braden Scale is a standardized tool for predicting a patient's risk of developing a pressure ulcer.
- It assesses risk based on six specific criteria: Sensory Perception, Moisture, Activity, Mobility, Nutrition, and Friction & Shear.
- Memory, which is a component of cognitive function, is not one of the six parameters directly measured by the Braden Scale.
- While a patient's mental status is considered under 'Sensory Perception' (ability to respond to discomfort), 'Memory' itself is not a standalone category.
Why Other Options Were Wrong
- Option A: Sensory perception is a key parameter of the Braden scale. It assesses the patient's ability to feel and respond to pressure-related pain or discomfort, which is a crucial protective mechanism.
- Option B: Moisture is a fundamental parameter of the Braden scale. It evaluates the degree to which the skin is exposed to moisture from sources like urine, stool, or perspiration, which can lead to skin maceration and breakdown.
- Option D: Friction and Shear is a critical parameter of the Braden scale. It assesses the mechanical forces that occur when skin is dragged across a surface (friction) or when layers of skin slide over each other (shear), both of which can cause significant tissue damage.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Braden Scale for Predicting Pressure Ulcer Risk as background academic context rather than a clinical decision trigger.
- Nurses use the Braden Scale score to implement targeted preventive care. A low score (e.g., a score of 12 or less indicates high risk) triggers intensive interventions like a specialized support surface, a strict 2-hourly turning schedule, and nutritional consultation.
- The scale provides a standardized, objective language for communicating pressure ulcer risk among healthcare team members, ensuring continuity and consistency of care.
- What if? If a patient is alert and oriented but has a spinal cord injury causing a complete loss of sensation below the waist, their 'Sensory Perception' score would be 'Completely Limited' (a score of 1). This would significantly increase their overall risk, even if their cognitive 'Memory' is perfect, highlighting why sensory ability is assessed separately from general cognition.
How to Approach the Question
- First, identify the core concept of the question, which is the Braden Scale used for pressure ulcer risk assessment.
- Next, notice the negative keyword 'NOT'. This signals that you need to find the option that is an exception or does not belong.
- Recall the six parameters of the Braden Scale. A helpful mnemonic is 'SSkin MAANN' (Sensory, Skin Moisture, Activity, Mobility, Nutrition, Friction/Shear).
- Systematically evaluate each option against the known components of the scale.
- Sensory perception, Moisture, and Friction are all established parameters related to physical risk factors for skin breakdown.
- Memory is a cognitive function. While altered mental status can affect a patient's ability to reposition, 'Memory' itself is not a distinct parameter on the scale. This makes it the correct outlier.
Concept Tested & Keywords
- Concept Tested: Braden Scale for Predicting Pressure Ulcer Risk
- Stem keywords: Braden scale, parameter, pressure ulcer
- Lead-in keywords: NOT
- Negative lead-in flag: This question uses negative framing ('NOT'), requiring you to identify the option that does not belong to the Braden scale.
Question ID
Q5Z5aRikhlih7CBkLk6Erk
Reference Book
E6 Nursing Fundamentals Taylor p. 562-564
E6 Nursing Brunner Adult Health 3SA Vol 2 Part 2 p. 110-112
Practise the full DSSSB 12 August 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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