Practice Question
A client diagnosed with severe dementia experienced a recent fall. The nurse is concerned about this client's pain level. Which assessment tool should the nurse use to assess the client's pain?
Answer Choices:
Correct Answer:
PAINAD
Rationale:
🟪PAINAD (Pain Assessment in Advanced Dementia) is specifically created for clients who are unable to communicate verbally due to severe cognitive impairment.
🟪It evaluates behaviors such as facial expressions, body movements, vocalizations, consolability, and breathing, offering an objective method to measure pain.
🟪Clients with severe dementia cannot reliably use numeric scales or interpret faces on self-report tools.
🟪PAINAD ensures pain is recognized and treated appropriately, preventing unnecessary suffering in clients who cannot advocate for themselves.
🟪It is the most evidence-based and appropriate tool for this population.
❌ Incorrect Answers:
❌ Wong-Baker → Requires cognitive ability to match pain to faces.
❌ 0–10 scale → Requires communication and abstract thinking; not suitable.
❌ FACES → Also relies on client interpretation.
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This question is from PN Adult I Exam 3 November 18 2025 Examplify which contains 48 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: 💎Examplify-PN
- Domain: 👨🏼⚕️Adult Health-PN
- Answer Choices: 4