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?
A) Pain Assessment in Advanced Dementia (PAINAD)
B) Wong-Baker Faces scale
C) Linear Scale
D) Numeric Scale
Ans: A
The nurse should use the Pain Assessment in Advanced Dementia (PAINAD) scale, which was developed for cognitively impaired clients. The Wong-Baker FACES scale is best for children and clients who are culturally diverse. Nurses generally use a numeric scale, a word scale, or a linear scale to quantify the pain intensity of adult clients who can express their pain intensity in words, numbers, or linear fashion with the help of the respective scales.
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