The Nurse Is Assessing an Older Adult Patient with Dementia

The nurse is assessing an older adult patient with dementia for pain using the Pain Assessment in Advanced Dementia Scale (PAINAD) . The patient is experiencing short periods of hyperventilation, occasionally moans, is frowning, and is tense, but is reassured by the nurse's touch. Which score will the nurse document for this patient?

A) 5
B) 6
C) 7
D) 8