Which of the following methods is most effective for a nurse to assess pain in a 4-year-old child?
Asking the child to rate their pain using descriptive words like 'mild,' 'moderate,' or 'severe
Using a faces pain scale to allow the child to point to the face that best represents their pain
Observing the child's facial expressions and body movements without any other assessment
Asking the child to rate their pain on a scale of one to ten, with ten being the worst
The Correct Answer is B
A. Descriptive words might be confusing for a 4-year-old and may not accurately capture their experience of pain.
B. The faces pain scale is effective for young children as it uses visual cues that they can relate to, making it easier for them to express their pain level.
C. While observing the child’s behavior can provide insights, it does not give a direct assessment of pain.
D. Rating pain on a scale of one to ten may be difficult for a child this age, as they may not fully understand numerical values.
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Related Questions
Correct Answer is D
Explanation
A. Using medical jargon would likely confuse and scare the child.
B. Keeping medical equipment visible might increase anxiety, as young children can become fearful of unfamiliar objects.
C. Separating the child from their parent during the examination can increase fear and resistance, so it is better to keep the parent nearby for reassurance.
D. Allowing the child to role-play with medical equipment helps reduce anxiety, makes the experience more familiar, and increases cooperation during the assessment.
Correct Answer is A
Explanation
A. Allowing a child to play with small toys, even in the same room, poses a choking hazard, and parents should avoid giving small toys to preschoolers entirely.
B. Ensuring the child wears a helmet when riding a tricycle is a safe practice and shows good understanding of accident prevention.
C. Keeping cleaning supplies locked up and out of reach is an essential safety precaution for preventing poisoning and injury.
D. Teaching a child to swim and supervising them near water is critical for safety, especially since preschoolers can easily drown.
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