What is the greatest barrier to a 3-year-old client's ability to assess her pain?

a. Understanding procedures that cause pain
b. Increased separation anxiety
c. Reluctance to talk to strangers
d. Expressing pain on a scale of 0 to 10


A
Young children have difficulty understanding procedures that may cause pain. Cognitively, tod-dlers and preschoolers are often unable to recall explanations about pain or associate pain with experiences that can occur in various situations. They may also have difficulty expressing their pain or they may use verbal indicators that differ from those used by older individuals.
Increased separation anxiety is not the greatest barrier in assessing the child's pain.
Reluctance to talk to strangers is not the greatest barrier in assessing the child's pain.
Expressing pain on a scale of 0 to 10 is not an appropriate assessment tool for a 3-year-old in as-sessing her pain.

Nursing

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