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?
FLACC Scale.
Wong-Baker FACES Pain Rating Scale.
Numeric Rating Scale (NRS)
Visual Analog Scale (VAS)
None of the above.
Correct Answer : B,C,D
Choice A rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is typically used for infants and young children who cannot effectively communicate their pain through verbal means.
This tool is not suitable for children aged 5 years and older as they can often express their pain verbally and can use more appropriate pain assessment tools.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is a suitable tool for children aged 5 years and older.
It uses a series of faces depicting various levels of pain, making it easier for children to express their pain intensity.
This tool is particularly useful for children who can understand and communicate their feelings but may have difficulty with numerical scales.
Choice C rationale:
The Numeric Rating Scale (NRS) is a suitable tool for children aged 5 years and older.
It asks the child to rate their pain on a scale from 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable.
Children in this age group can often understand and use numerical scales effectively.
Choice D rationale:
The Visual Analog Scale (VAS) is not typically recommended for children aged 5 years and older.
It requires the ability to mark a point on a line to indicate pain intensity, which can be challenging for young children.
Other tools like the Wong-Baker FACES Pain Rating Scale or the Numeric Rating Scale are more appropriate for this age group.
Choice E rationale:
None of the above" is not the correct choice, as options B, C, and D are suitable for children aged 5 years and older.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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