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SEM580 FINAL REVIEW EXAM QUESTIONS AND ANSWERS
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SEM580 FINAL REVIEW EXAM QUESTIONSAND ANSWERS
Which of the following statements truly describes the history of the WOC
Nursing Speciality? - ANSWER Patient consumers established the speciality.
An ESSENTIAL component of a WOC Nursing Practice is the implementation,
coordination, and evaluation of speciality care.
A certificate of completion is provided upon satisfactory completion of a
program. Certification in WOC Nursing is achieved after passing exams
administered by the ANSWER WOCNCB® (Wound Ostomy Continence
Nursing Certification Board).
When a learner graduates from a WOCN® approved nursing education program
(i.e. WEB WOC) and successfully passes all scopes of practice certification
tests from the WOCNCB, what is the correct specialist abbreviation? -
ANSWER CWOCN.
Which of the following are trends in WOC Nursing Care? - ANSWER Patient
safety, access, and outcomes research.
Which of the following sources provides the most credible evidence? -
ANSWER: Randomised clinical studies.
Which of the following claims concerning clinical practice guidelines is
correct? - ANSWER Clinical guidelines are based on current literature and
summarise state-of-the-art care for specific health conditions.
What are the main layers of skin? - Answer: epidermis and dermis.
,What is the main purpose of undamaged skin? - ANSWER: Protective barrier.
What is the benefit of the skin having an acid mantle (pH 4.5-6.5)? - ANSWER
Slows the growth of skin infections.
How does ageing affect the skin's epidermal turnover or differentiation? -
ANSWER Increases cell turnover time (>28 days).
Which dermal cells create collagen (the building blocks of skin) and elastin
(tensile strength)? - Answer: Fibroblasts.
The dermis contains the following structures: collagen, elastin proteins, hair
follicles, and sweat glands.
The hypodermis (subcutaneous tissue) has several roles, including cushioning,
insulating, and increasing skin movement over underlying tissues.
Which layer of soft tissue is the most susceptible to pressure from a bony
prominence? - ANSWER Muscle.
Diabetes increases the incidence of skin infections, specifically bacterial and
fungal.
What exactly is the definition of MASD? - ANSWER Skin damage caused by
prolonged contact with numerous sources of moisture.
, MASD (Moisture Associated Skin Damage) affects which part of the skin or
cell function? - ANSWER epidermis and/or dermis.
How does MASD affect the acid mantle of the skin? - ANSWER: Increases
transepidermal water loss (TEWL).
What is the primary risk factor for ITD (intertriginous dermatitis)? - Answer
Obesity.
What is the key risk factor for Peristomal MASD? - ANSWER: Pouching
system leaking.
What is the key risk factor for Periwound MASD (PWMASD)? - ANSWER: A
large volume of wound exudate.
Understanding the physiology of skin injuries caused by MASD is critical.
What effect does an absorptive product (such as an adult brief) have on the skin
barrier? - ANSWER: Increase in TEWL (trans-epidermal water loss) and skin
pH.
Which wound exudate characteristic is most likely to result in periwound
MASD? - ANSWER: Thick purulent.
Which form of MASD is more susceptible to fungal or bacterial infections? -
ANSWER: Incontinence-associated dermatitis.
What are the most likely risk factors for the development of peristomal MASD?
- ANSWER: High pH, watery stool, and degraded pouch barrier.
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