A client has a cognitive impairment and is unable to comprehend pain scales effectively.
Which pain assessment tool would be most appropriate for this client?

FLACC Scale.

Wong-Baker FACES Pain Rating Scale.

Numeric Rating Scale (NRS)

Visual Analog Scale (VAS)

Answer and Explanation

The Correct Answer is A

FLACC Scale.

Choice A rationale:

The FLACC Scale, as previously mentioned, is a suitable pain assessment tool for clients who may have cognitive impairments and cannot effectively comprehend more complex pain scales.

It relies on observable behaviors, making it suitable for individuals who cannot express their pain verbally or understand more intricate pain assessment methods.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale, while effective for many individuals, may still require some level of comprehension to point to the appropriate face on the scale.

It may not be the best choice for individuals with severe cognitive impairments.

Choice C rationale:

The Numeric Rating Scale (NRS) and

Choice D rationale:

the Visual Analog Scale (VAS) both require an understanding of numbers and abstract concepts, which may be challenging for clients with cognitive impairments.

These scales are not the most appropriate choice for this population.

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Correct Answer is ["A","B"]

Explanation

Choice A rationale:

The FLACC Scale is designed for infants and non-verbal children.”..

This is a correct statement.

The FLACC Scale is specifically designed for assessing pain in infants and non-verbal children who cannot self-report their pain.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is utilized for children aged 3 years and older.”..

This is also a correct statement.

The Wong-Baker FACES Pain Rating Scale is suitable for children aged 3 years and older who can use it to express their pain intensity.

Choice C rationale:

The Numeric Rating Scale (NRS) is suitable for children aged 5 years and older.”..

This statement is incorrect.

The Numeric Rating Scale (NRS) is generally used for children aged 5 years and older who can understand and use numbers to rate their pain.

Choice D rationale:

The FLACC Scale rates five behavioral indicators on a scale from 0 to 2, with a maximum score of 10.”..

This statement is accurate and describes how the FLACC Scale rates pain based on five behavioral indicators, each scored from 0 to 2, resulting in a maximum score of 10.

Choice E rationale:

The Wong-Baker FACES Pain Rating Scale consists of a series of faces with different expressions, representing different levels of pain intensity.”..

This statement is correct and accurately describes the Wong-Baker FACES Pain Rating Scale, which uses facial expressions to represent various levels of pain intensity.

A. The child is experiencing mild pain. B. The child is in severe pain. C. The child is pain-free. D. The child's pain level cannot be determined from the given information.

Correct Answer is B

Explanation

Choice A rationale:

If the child marked a point close to "worst pain imaginable" on the Visual Analog Scale (VAS), it would indicate severe pain, not mild pain.

The child's indication suggests that they are experiencing a high level of pain.

Choice B rationale:

This is the correct answer.

When a child marks a point close to "worst pain imaginable" on the VAS, it indicates severe pain.

The VAS is a linear scale, with one end representing no pain and the other end representing the most severe pain.

Therefore, a mark close to the extreme end of severe pain suggests that the child's pain intensity is high.

Choice C rationale:

If the child marked a point close to "worst pain imaginable," it would not indicate that the child is pain-free.

It would actually suggest the opposite, that the child is in significant pain.

Choice D rationale:

The child's pain level can be determined from the given information.

By marking a point close to "worst pain imaginable" on the VAS, the child is indicating a high level of pain, which is consistent with the scale's interpretation.

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A client has a cognitive impairment and is unable to comprehend pain scales effectively.Which pain assessment tool would be most appropriate for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of nursing students about pediatric pain assessment tools and scales.Which of the following should be included in the teaching? (Select all that apply)

Correct Answer is ["A","B"]

Explanation

A nurse is educating the parents of an 8-year-old child on using the Visual Analog Scale (VAS) for pain assessment.The child marks a point close to "worst pain imaginable" on the scale.What does this indicate about the child's pain intensity?

Correct Answer is B

Explanation

A nurse is caring for a group of children on a pediatric unit. The nurse is using a variety of pain assessment tools and scales to assess the children's pain. (Select all that apply). The nurse should use which of the following pain assessment tools or scales?

Select all that apply):A nurse is caring for a group of pediatric patients and needs to assess their pain using appropriate tools.Which of the following pain assessment tools are suitable for children aged 5 years and older?

A client asks a nurse about the normal range for the FLACC Scale and Wong-Baker FACES Pain Rating Scale when assessing their infant’s and older child’s pain respectively. How should the nurse respond?

A client asks a nurse about the normal range for the FLACC Scale and Wong-Baker FACES Pain Rating Scale when assessing their infant’s and older child’s pain respectively.How should the nurse respond?

A nurse is providing care to an infant who is unable to communicate verbally.Which pain assessment tool would be most suitable for this infant?

A nurse is assessing the pain level of a 4-year-old child who has undergone a surgical procedure.Which pain assessment tool would be most appropriate for this child?

A nurse is assessing a child’s pain using the Numeric Rating Scale (NRS)The child rates their pain as ‘7’ on the scale.Based on this rating, how should the nurse interpret the child’s pain intensity?

A nurse is preparing to assess a non-verbal child’s pain level using the FLACC Scale.The nurse knows that this scale rates five behavioral indicators.Which of the following statements would be appropriate for the nurse to say during this assessment?

A client has a cognitive impairment and is unable to comprehend pain scales effectively.
Which pain assessment tool would be most appropriate for this client?