A nurse is assessing a mentally challenged, adult client who is in pain after a fall. Which of the following scales should the nurse use to assess the client's pain?

Question

Quizplus · Accepted Answer

The Pain Assessment in Advanced Dementia (PAINAD) scale is specifically designed for use with patients with advanced dementia or cognitive impairment who are unable to self-report pain. This scale includes five categories of observable behaviors that indicate pain: breathing, negative vocalization, facial expression, body language, and consolability. It has been validated in the literature and is specifically designed for use with clients who have cognitive impairments. The other three scales listed are more appropriate for use with clients who can self-report their pain levels.

A Nurse Is Assessing a Mentally Challenged, Adult Client Who