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

Explanation

Choice A rationale:

The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is a pain assessment tool specifically designed for children who cannot effectively communicate their pain verbally.

It assesses various aspects, including facial expression, leg movement, activity, cry, and consolability.

It is particularly suitable for infants and young children who may not be able to describe their pain in words.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older and is based on facial expressions to assess pain intensity.

While it is suitable for this age group, it may not be the most appropriate choice for a 4-year-old child who has just undergone surgery, as it may not accurately capture the child's pain experience.

Choice C rationale:

The Numeric Rating Scale (NRS) requires the child to assign a numerical value to their pain, typically on a scale from 0 to 10.

This may not be the most appropriate tool for a 4-year-old child, as they may have difficulty using numbers to describe their pain, especially immediately after surgery.

Choice D rationale:

The Visual Analog Scale (VAS) requires the child to mark their pain level on a line, which may also be challenging for a 4-year-old child.

This tool is typically used for older children and adults who can better understand and use a visual representation of pain.

A. FLACC Scale. B. Wong-Baker FACES Pain Rating Scale. C. Numeric Rating Scale (NRS) D. Visual Analog Scale (VAS) E. McGill Pain Questionnaire.

Correct Answer is ["A"]

Explanation

FLACC Scale.

B. Wong-Baker FACES Pain Rating Scale.

Choice A rationale:

The FLACC Scale, which stands for Face, Legs, Activity, Cry, and Consolability, is a suitable pain assessment tool for a 6-year-old child.

It uses observable behaviors to assess pain, making it appropriate for young children who may not be able to express their pain verbally.

The scale assigns scores to each of these categories, and the total score indicates the level of pain.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale is another appropriate tool for assessing pain in a 6-year-old child.

It uses a series of faces with different expressions, ranging from a happy face to a crying face, to help the child express their pain level.

This visual scale is effective for young children who can point to the face that best represents their pain.

Choice C rationale:

The Numeric Rating Scale (NRS) and

Choice D rationale:

the Visual Analog Scale (VAS) are typically not suitable for a 6-year-old child.

These scales require a level of cognitive and numerical understanding that may be beyond the capabilities of most 6-year-olds.

NRS involves rating pain on a scale from 0 to 10, and VAS involves marking a point on a line to indicate pain severity, which may be too abstract for a child of this age.

Choice E rationale:

The McGill Pain Questionnaire is a more complex and detailed tool designed for older children and adults.

It involves a list of descriptive words and phrases to assess various aspects of pain, making it unsuitable for a 6-year-old child.

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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 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?

Correct Answer is A

Explanation

Select all that apply.A nurse is assessing the pain level of a 6-year-old child.Which pain assessment tools can be used for this child?

Correct Answer is ["A"]

Explanation

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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’s child is about to undergo a painful procedure.The nurse decides to use the Wong-Baker FACES Pain Rating Scale to assess the child’s pain level.Which of the following statements would be appropriate for the nurse to say to the child during this assessment?

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 3-year-old child is admitted to the hospital with a diagnosis of pneumonia. The child is non-verbal and has difficulty breathing. The nurse uses the FLACC Scale to assess the child's pain. The child scores a 9/10 on the FLACC Scale. Which of the following statements by the patient is appropriate?

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?