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?

“I will observe your facial expression.”..

“I will watch how you move your legs.”..

“I will note your activity level.”..

“I will listen to your cry and observe your consolability.”..

Answer and Explanation

The Correct Answer is D

Choice A rationale:

I will observe your facial expression.”..

This statement is not appropriate for assessing pain in a non-verbal child using the FLACC Scale because it does not address the five behavioral indicators the scale measures.

The FLACC Scale assesses facial expression, leg movement, activity level, cry, and consolability.

Choice B rationale:

I will watch how you move your legs.”..

This statement is also not appropriate for using the FLACC Scale as it only focuses on one of the five behavioral indicators.

While leg movement is assessed, it's crucial to evaluate all indicators for a comprehensive pain assessment.

Choice C rationale:

I will note your activity level.”..

This statement is partially correct, as the FLACC Scale does assess activity level.

However, it does not cover all the indicators, and it's essential to mention the other components for a complete assessment.

Choice D rationale:

I will listen to your cry and observe your consolability.”..

This statement is the most appropriate choice.

The FLACC Scale rates five behavioral indicators, and this statement acknowledges two of them: cry and consolability.

A comprehensive assessment should include all five indicators for an accurate pain evaluation in non-verbal children.

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Correct Answer is A

Explanation

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.

A. The FLACC Scale is designed for infants and non-verbal children. B. The Wong-Baker FACES Pain Rating Scale is utilized for children aged 3 years and older. C. The Numeric Rating Scale (NRS) is suitable for children aged 5 years and older. D. The FLACC Scale rates five behavioral indicators on a scale from 0 to 2, with a maximum score of 10. E. The Wong-Baker FACES Pain Rating Scale consists of a series of faces with different expressions, representing different levels of pain intensity.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

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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?

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 nurse is assessing the pain level of a 10-year-old child who is able to understand and communicate effectively.Which pain assessment tool would be most suitable for this child?

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 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?

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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?