The nurse is assessing the confused client, in trying to determine the client's level of pain, the nurse should:
a. be aware that confused clients don't feel as much pain due to their confusion
b. observe the client carefully for changes in behavior or vital signs
c. ask the client's family how much pain the client normally has
d. use only pain scales that feature numbers or "faces" the client can point to.
Ans: b. observe the client carefully for changes in behavior or vital signs
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