當病人自述嚴重疼痛時，下列哪項評估最重要？
Which assessment is most important when a client reports severe pain?
- AThe location of the pain疼痛的部位
- BObjective signs of pain such as tachycardia疼痛的客觀徵象，如心搏過速
- CThe client's description of the pain✓ 正解病人對疼痛的描述
- DThe intensity of the pain疼痛的強度
疼痛評估的核心原則是「疼痛是主觀的」，病人自述（Self-report）被視為評估疼痛的黃金標準（Gold Standard）。疼痛不僅僅是生理感覺，更包含情感與心理層面，因此病人的主觀描述能提供最真實的診斷依據。雖然強度（Intensity）與部位（Location）是評估的一部分，但若缺乏全面的描述（包含疼痛性質、加重與緩解因子等），將無法擬定有效的護理計畫。客觀徵象如心跳加快，可能由焦慮、發燒或循環問題引起，並非疼痛的特異性指標，不可替代病人的主觀陳述。
The core principle of pain assessment is that 'pain is subjective,' and the client's self-report is considered the gold standard for assessment. Pain is more than a physiological sensation; it also encompasses emotional and psychological dimensions, so the client's subjective description provides the most reliable diagnostic basis. While intensity and location are parts of the assessment, without a comprehensive description (including pain quality and aggravating and relieving factors), an effective nursing plan cannot be developed. Objective signs such as tachycardia may be caused by anxiety, fever, or circulatory issues and are not specific indicators of pain; they cannot replace the client's subjective report.