SEM580 FINAL EXAM REVIEW #1***
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!!
Question 1: Origins of the WOC Nursing Specialty
Which of the following statements accurately reflects the origins of the WOC
nursing specialty?
A) The first education programs were 8 weeks long and required the learner
to be in residence during that period.
B) The 1st WOC nurse specialized in wound care.
C) The first education programs had no precepted clinical practicum.
D) The origin of the specialty began with a patient who had a stoma.
✔✔ Answer: D) The origin of the specialty began with a patient who had a
stoma.
Clinical & Historical Rationale: The specialty was founded in 1958 by Norma
Gill, a patient who had undergone a total colectomy with an ileostomy.
Recognizing the lack of specialized care for ostomy patients, Dr. Rupert Turnbull
at the Cleveland Clinic recruited her to establish the field of Enterostomal Therapy
(ET)—the direct precursor to modern Wound, Ostomy, and Continence (WOC)
nursing.
Question 2: Professional Titles vs. Certification Credentials
Margaret is a graduate of a WOCN® accredited nursing education program
having completed the full scope of practice. Prior to sitting for her national
certification exam(s), she can legally:
a. Debride wounds in her facility
b. Use the title, WOC nurse
c. Recommend and prescribe antifungal agents
d. Use the credential, WOCN®
,✔✔ Answer: b. Use the title, WOC nurse
Professional Practice Rationale:
Job Title vs. Board Credential: Upon completing an accredited WOCN®
education program, a nurse is educationally prepared as a specialty nurse
and may use the functional job title WOC Nurse (or Ostomy Nurse, Wound
Specialist, etc.).
Why "d" is incorrect: Official board credentials (e.g., CWOCN®,
CWCN®, COCN®, CCCN®) are granted exclusively by the WOCNCB®
(Wound Ostomy Continence Nursing Certification Board) after successfully
passing the national certification examinations. Using protected trademarked
credentials like "CWOCN" or "WOCN" prior to passing the board exams is
prohibited.
Why "a" & "c" are incorrect: Sharps debridement and prescribing
medications depend strictly on state nurse practice acts, facility privileges,
and advanced practice licensure (NP/APRN status), not simply completing a
certificate program.
An essential component of a WOC nursing practice is:
a. establishing an outcomes program to measure results of care.
b. implements, coordinates, and evaluates specialty care.
c. establishing a clinic for outpatient follow up
d. billing for services provided. -ANSWER ✔✔b. implements, coordinates, and
evaluates specialty care.
Evidence based practice: the highest level of evidence comes from which of the
following sources?
a. case studies
b. prospective studies
c. expert opinions
, d. randomized clinical trials -ANSWER ✔✔d. randomized clinical trials
Which of the following statements about clinical practice guidelines is true?
a. these are basically recommendations for care of a specific condition based on
expert opinion and case studies
b. the literature from which the clinical guidelines are derived should be reviewed
prior to incorporating the guidelines into patient care.
c. to avoid the appearance of self interest, the national government authors all
clinical practice guidelines.
d. clinical guidelines are derived from the current literature and summarize state of
the art care for specific healthcare issues. -ANSWER ✔✔d. clinical guidelines are
derived from the current literature and summarize state of the art for specific
healthcare issues.
What are the major layers of the skin?
a. hypodermis and muscle
b. epidermis and dermis
c. keratinocytes and fibroblasts
d. macrophages and platelets -ANSWER ✔✔b. epidermis and dermis
What is the benefit in the skin maintaining an acid mantle
a. promotes skin hydration
b. increases TEWL (trans epidermal water loss)
c. retards growth of skin pathogens
d. promotes skin elasticity -ANSWER ✔✔c. retards growth of skin pathogens
How does age alter the skin's epidermal turnover or process of differentiation?
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!!
Question 1: Origins of the WOC Nursing Specialty
Which of the following statements accurately reflects the origins of the WOC
nursing specialty?
A) The first education programs were 8 weeks long and required the learner
to be in residence during that period.
B) The 1st WOC nurse specialized in wound care.
C) The first education programs had no precepted clinical practicum.
D) The origin of the specialty began with a patient who had a stoma.
✔✔ Answer: D) The origin of the specialty began with a patient who had a
stoma.
Clinical & Historical Rationale: The specialty was founded in 1958 by Norma
Gill, a patient who had undergone a total colectomy with an ileostomy.
Recognizing the lack of specialized care for ostomy patients, Dr. Rupert Turnbull
at the Cleveland Clinic recruited her to establish the field of Enterostomal Therapy
(ET)—the direct precursor to modern Wound, Ostomy, and Continence (WOC)
nursing.
Question 2: Professional Titles vs. Certification Credentials
Margaret is a graduate of a WOCN® accredited nursing education program
having completed the full scope of practice. Prior to sitting for her national
certification exam(s), she can legally:
a. Debride wounds in her facility
b. Use the title, WOC nurse
c. Recommend and prescribe antifungal agents
d. Use the credential, WOCN®
,✔✔ Answer: b. Use the title, WOC nurse
Professional Practice Rationale:
Job Title vs. Board Credential: Upon completing an accredited WOCN®
education program, a nurse is educationally prepared as a specialty nurse
and may use the functional job title WOC Nurse (or Ostomy Nurse, Wound
Specialist, etc.).
Why "d" is incorrect: Official board credentials (e.g., CWOCN®,
CWCN®, COCN®, CCCN®) are granted exclusively by the WOCNCB®
(Wound Ostomy Continence Nursing Certification Board) after successfully
passing the national certification examinations. Using protected trademarked
credentials like "CWOCN" or "WOCN" prior to passing the board exams is
prohibited.
Why "a" & "c" are incorrect: Sharps debridement and prescribing
medications depend strictly on state nurse practice acts, facility privileges,
and advanced practice licensure (NP/APRN status), not simply completing a
certificate program.
An essential component of a WOC nursing practice is:
a. establishing an outcomes program to measure results of care.
b. implements, coordinates, and evaluates specialty care.
c. establishing a clinic for outpatient follow up
d. billing for services provided. -ANSWER ✔✔b. implements, coordinates, and
evaluates specialty care.
Evidence based practice: the highest level of evidence comes from which of the
following sources?
a. case studies
b. prospective studies
c. expert opinions
, d. randomized clinical trials -ANSWER ✔✔d. randomized clinical trials
Which of the following statements about clinical practice guidelines is true?
a. these are basically recommendations for care of a specific condition based on
expert opinion and case studies
b. the literature from which the clinical guidelines are derived should be reviewed
prior to incorporating the guidelines into patient care.
c. to avoid the appearance of self interest, the national government authors all
clinical practice guidelines.
d. clinical guidelines are derived from the current literature and summarize state of
the art care for specific healthcare issues. -ANSWER ✔✔d. clinical guidelines are
derived from the current literature and summarize state of the art for specific
healthcare issues.
What are the major layers of the skin?
a. hypodermis and muscle
b. epidermis and dermis
c. keratinocytes and fibroblasts
d. macrophages and platelets -ANSWER ✔✔b. epidermis and dermis
What is the benefit in the skin maintaining an acid mantle
a. promotes skin hydration
b. increases TEWL (trans epidermal water loss)
c. retards growth of skin pathogens
d. promotes skin elasticity -ANSWER ✔✔c. retards growth of skin pathogens
How does age alter the skin's epidermal turnover or process of differentiation?
