A 4-year-old boy is brought to the emergency department by his mother. She says he points to his stomach and says, "It hurts so bad." Which pain assessment tool would be the best choice when assessing this child's pain?
Brief Pain Inventory
Descriptor Scale
Numeric rating scale
Faces Pain Scale-Revised (FPS-R)
The Correct Answer is D
A. Brief Pain Inventory:
Designed for older children or adults to assess pain over time and its impact—not ideal for a 4-year-old.
B. Descriptor Scale:
Uses words to describe pain—better suited for older children and adults.
C. Numeric rating scale:
Typically used for children 8 years and older who can understand number scales.
D. Faces Pain Scale-Revised (FPS-R):
Ideal for children ages 3+; it uses facial expressions to help young children communicate pain intensity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Screening:
Screening detects health problems early but doesn’t involve directly educating the patient on safety practices.
B. Health education:
Teaching the patient about medication use, risks, and adherence strategies is a form of health education aimed at preventing polypharmacy.
C. Cultural sensitivity:
Important in communication but not the primary strategy for addressing polypharmacy.
D. Sanitation:
Relates to hygiene and infection prevention, not medication safety.
Correct Answer is C
Explanation
A. J.M. is a 59-year-old man seeking treatment for ulcerative colitis:
This documents a chronic condition, but not the acute reason for the visit (black stools).
B. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked:
Vague and less focused on the acute symptom prompting the visit.
C. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours:
Focuses on the subjective reason for seeking care, using the patient’s own words, as recommended.
D. J.M. came into the clinic complaining of having black stools for the past 24 hours:
Avoids using the word "complaining," which can be judgmental; also doesn’t quote the patient's exact words.
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