The Nurse Is Assessing a Client Who Has Had a Cerebral

The nurse is assessing a client who has had a cerebral vascular accident (CVA or stroke) and has difficulty with verbal expression,but no other deficits.What approach should the nurse use to assess this client's level of pain?

A) The nurse asks the client's family member to place a number on the client's pain using a scale of 0 (no pain) to 10 (most pain) ,since the family member knows the client best.
B) The nurse considers the client's behavior and vital signs and determines a number from the pain scale (0-10) based on these objective findings.
C) The nurse uses the Wong-Baker "FACES" pain rating scale.
D) The nurse reviews the previous pain assessments and makes a determination based on these findings.