A nurse is assessing the pain level of a client who has dementia and difficulty communicating. Which of the following pain assessment techniques should the nurse use?

Numerical pain scale

Verbal description

FACES pain scale

Behavioural indicators

Answer and Explanation

The Correct Answer is D

A. Numerical pain scale. Clients with dementia often have difficulty understanding and using numerical pain scales.

B. Verbal description. Many clients with dementia have impaired verbal communication, making it difficult to describe pain effectively.

C. FACES pain scale. While this scale is useful for some nonverbal populations, it still requires the client to actively choose a face, which may be difficult for those with advanced dementia.

D. Behavioral indicators. Observing facial expressions, body movements, vocalizations, and changes in vital signs can help assess pain in clients who cannot self-report. The PAINAD (Pain Assessment in Advanced Dementia) scale is commonly used.

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Correct Answer is A

Explanation

A. A stand assist lift: A stand assist lift is appropriate for clients who can bear some weight and have upper body strength. It provides support during the transfer while allowing the client to participate in the movement, promoting mobility and independence.

B. A footboard: A footboard is used to prevent foot drop in bedridden clients and is not a transfer device. It does not assist with movement from a chair to a bed.

C. A slide board: A slide board is typically used for clients who have good upper body strength but cannot bear weight on their legs, such as paraplegic clients. Since this client can bear partial weight, a slide board is not the best option.

D. A mechanical lift with a full-body sling: A full-body sling mechanical lift is used for clients who cannot bear weight and have minimal or no upper body strength. Since this client can bear some weight and has upper body strength, a stand assist lift is the more appropriate choice.

A. Observations about family relationships B. Response to pain medication C. Review of ongoing discharge plan D. Recent physical changes E. Comprehensive demographic information

Correct Answer is ["B","C","D"]

Explanation

A. Observations about family relationships: Personal relationship details are not required unless relevant to care.

B. Response to pain medication: Pain management effectiveness is crucial for continuity of care.

C. Review of ongoing discharge plan: The receiving unit should be aware of discharge plans to provide appropriate care.

D. Recent physical changes: Any changes in condition must be reported for safe care continuation.

E. Comprehensive demographic information: Basic demographic details are in the medical record and do not need to be included in a verbal report.

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A nurse is assessing the pain level of a client who has dementia and difficulty communicating. Which of the following pain assessment techniques should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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