An adult can describe a new pain despite appearing calm. Which information should guide the pain assessment?
- AHeart rate and blood pressure trends during the episode
- BThe absence of grimacing or guarding
- CThe patient's report alongside functional and clinical findings
- DA behavioral pain scale scored by observing the face and movement
Show answer and explanations
Answer
C
A
Vital signs are nonspecific and often normal in genuine pain, so they cannot replace self-report.
B
Calm appearance does not exclude significant pain, especially when patients cope quietly.
C
Self-report is the most reliable indicator when the patient can communicate, supported by functional and clinical assessment.
D
Observational scales are intended for patients who cannot self-report; this patient can describe the pain.