— 照護管理 · EASY · MCQ —
護理師評估術後疼痛，哪一項是疼痛最可靠的指標？
A nurse is assessing a client for post-operative pain management. Which of the following is the most reliable indicator of pain?
- AThe client's facial expression病人的面部表情
- BThe client's self-report of pain✓ 正解病人對疼痛的主觀報告
- CThe client's heart rate and blood pressure病人的心率和血壓
- DThe nurse's assessment of the surgical wound護理師對手術傷口的評估
— Explanation · 中文詳解 —
疼痛是主觀的感受（Pain is whatever the experiencing person says it is）。即便病人的生命跡象穩定或沒有痛苦表情，病人的自我報告（Self-report）依然是評估疼痛強度最可靠的依據。護理師不應僅憑觀察到的客觀數據來否定病人的主觀痛苦。
Pain is a subjective experience (pain is whatever the experiencing person says it is). Even if the client's vital signs are stable and there is no facial grimacing, the client's self-report remains the most reliable basis for assessing pain intensity. The nurse should not dismiss the client's subjective suffering based solely on observed objective data.
✦ 台美臨床差異
兩地皆強烈推崇「疼痛是第五生命徵象」，且主觀自述為評估核心。