— 基本照護與舒適 · MEDIUM · MCQ —
護理師使用數字評估量表評估病人疼痛。關於疼痛管理，下列敘述何者正確？
A nurse is assessing a client's pain level using a numeric rating scale. Which statement is true regarding pain management?
- AVital signs are the most reliable indicator of pain生命徵象是疼痛最可靠的指標
- BThe nurse should evaluate pain only when the client complains護理師應仅在病人抱怨時評估疼痛
- CPain is whatever the client says it is✓ 正解疼痛就是病人所說的那樣
- DNon-pharmacological methods are ineffective非藥物方法無效
— Explanation · 中文詳解 —
疼痛是主觀感受，病人對於疼痛的陳述即為黃金標準（Pain is what the client says it is）。生命徵象（如心跳變快）僅是生理反應，非疼痛的唯一診斷依據；非藥物療法對輔助控制疼痛相當重要；護理評估應主動進行，非等待病人告知。
Pain is defined subjectively as whatever the client reports it to be, making self-report the gold standard for assessment. Vital signs are not reliable indicators of pain intensity, and nurses should proactively assess pain rather than waiting for complaints or dismissing non-pharmacological interventions.
✦ 台美臨床差異
美台對疼痛作為「第五生命徵象」的重視度皆高，臨床評估工具使用亦相似。