Admission vital signs for the mechanically ventilated patient in the neurosurgery intensive care unit are heart rate: 60 beats per minute, blood pressure: 110/82, and respiratory rate: 20 breaths per minute. Which statement by the nurse reflects an accurate understanding of the patient's current pain experience?
1. "This patient's vital signs reflect a sympathetic nervous system response to pain."
2. "Since the vital signs are normal, the patient is not experiencing pain."
3. "This patient needs further assessment to determine if pain is present."
4. "Since the patient is mechanically ventilated, pain is unlikely."
Answer: 3
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Fill in the blank(s) with the appropriate word(s).