The Braden scale is used to assess risk of what?

• A. Risk of falls
• B. Risk of infection
• C. Risk of pressure ulcers
• D. Risk of dehydration

Answer: (C)

The main idea tested is recognizing what the Braden scale predicts. It specifically screens for risk of developing pressure ulcers by evaluating factors that contribute to skin breakdown when someone has prolonged pressure. It looks at six areas: sensory perception, moisture, activity, mobility, nutrition, and friction or shear. Each area reflects how easily skin can be damaged: reduced sensation, dampness from incontinence or perspiration, limited movement or activity, poor nutrition, and the mechanical forces that push or rub skin. A lower overall score means a higher risk, guiding nurses to implement preventive steps like turning schedules, pressure-relieving surfaces, diligent skin care, moisture management, and nutrition optimization. This focus on skin integrity is why it’s not used for falls, dehydration, or infection risk, which are measured by other tools.