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Clinical Nursing Skills

Competency-Based Assessments

Clinical Nursing SkillsCompetency-Based Assessments

Competency-Based Assessments

1 .

Use the Braden Scale for predicting pressure sore risk to answer the following question.

Scenario: Ms. Fischer has just been admitted for rehabilitation after a stroke. She is experiencing paralysis on one side and has only begun rehab to walk again. The nurse performs her initial Braden assessment with the following findings:

  1. Sensory perception: she responds to verbal commands but cannot always tell staff when she is hurting or needs to be turned.
  2. Moisture: she sweats frequently and staff have to change her sheets regularly.
  3. Activity: she is chairfast at this time due to paralysis related to the stroke.
  4. Mobility: she is able to shift herself around in the bed or chair using unaffected arm and leg
  5. Nutrition: her appetite is good and she regularly finishes her meals plus snacks her family brings her.
  6. Friction and shear: she struggles with sliding down in the bed or chair and having difficulty righting herself; she is unable to lift her full weight when moving herself or being moved.

What is Ms. Fischer’s Braden Score? What is her level of risk?

2 .
Describe key points the nurse would teach the patient about wound management at home.
3 .
You are seeing a patient in a physician’s office one month after release from the hospital following a house fire in which the patient and one of their children were badly burned. They continue to experience psychological distress related to their burn and scarring and are worried about their child as well. Use the information about living with burn injury to identify two resources you might use to help them and provide links to the resources for your instructor.
4 .
Review the competency checklists for this chapter and have a peer or instructor assess your performance of the tasks. You can find the checklists on the Student resources tab of your book page on

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