A nurse is teaching a group of parents about pain assessment in children.
The nurse explains the importance of using age-appropriate pain assessment tools and scales.
The nurse also discusses the different types of pain assessment tools and scales available.
Which of the following statements by the nurse is accurate?
"The FLACC Scale is the best pain assessment tool for all children.”..
"The Wong-Baker FACES Pain Rating Scale is the best pain assessment tool for children aged 3 years and older.”..
"The Numeric Rating Scale (NRS) is the best pain assessment tool for children aged 5 years and older.”..
"The Visual Analog Scale (VAS) is the best pain assessment tool for children aged 8 years and older.”..
The Correct Answer is B
Choice A rationale:
The nurse should not state that the FLACC Scale is the best pain assessment tool for all children because pain assessment tools should be age-appropriate.
The FLACC Scale is typically used for infants and young children who cannot effectively communicate their pain verbally.
It assesses facial expression, leg movement, activity, cry, and consolability.
However, it may not be suitable for older children who can use self-reporting pain scales.
Choice B rationale:
This is the correct answer.
The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older.
It uses a series of faces to represent different levels of pain intensity, making it a useful tool for children who may not be able to describe their pain in words.
The scale is widely recognized and accepted for this age group.
Choice C rationale:
The Numeric Rating Scale (NRS) is typically used for older children and adults.
It requires the child to assign a numerical value to their pain, usually on a scale from 0 to 10, with 0 representing no pain and 10 being the worst pain possible.
It may not be the best choice for younger children, especially those under the age of 5, as they may have difficulty using numbers to describe their pain.
Choice D rationale:
The Visual Analog Scale (VAS) is a pain assessment tool that requires a child to mark their pain level on a line, with one end indicating no pain and the other end indicating the worst pain imaginable.
It is often used for older children and adults.
Children aged 8 years and older may be able to use the VAS effectively, but it may not be the best choice for younger children, as it requires the ability to understand and use a visual representation of pain.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The child is experiencing moderate pain.
Choice A rationale:
A rating of '7' on the Numeric Rating Scale (NRS) typically indicates moderate pain.
The NRS is commonly used to assess pain in individuals who can communicate their pain level numerically.
The scale usually ranges from 0 to 10, with 0 indicating no pain and 10 indicating the worst possible pain.
In this context, a score of 7 suggests that the child is experiencing moderate pain, as they have rated their pain above the midpoint of the scale.
Choice B rationale:
A rating of '7' on the NRS does not indicate severe pain.
Severe pain would usually be associated with a higher score, often closer to the upper limit of the scale (e.g., 9 or 10)
Therefore, choice B is not the correct interpretation in this case.
Choice C rationale:
A rating of '7' on the NRS is higher than what is typically considered mild pain.
Mild pain would typically be represented by a lower score, such as 1 to 3 on the NRS.
Therefore, choice C is not the correct interpretation.
Choice D rationale:
A rating of '7' on the NRS clearly indicates that the child is experiencing pain.
Choice D, which states that the child is not experiencing any pain, is not the correct interpretation based on the provided pain rating.
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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