Home › CNA Practice Tests › Basic Nursing Skills Questions › Question 54
A resident says, 'I am fine, no pain at all,' but winces and guards her shoulder whenever she reaches for her cup. What should the assistant report?
- A.Only her words, because observation does not count
- B.Both what she said and the wincing and guarding observed
- C.Only a diagnosis that her shoulder is injured
- D.Nothing, since she clearly denied having pain
Correct answer
B. Both what she said and the wincing and guarding observed
Why
Words and observed behavior can differ, and both are important to report accurately. The nurse can then assess why reaching causes wincing and guarding despite the denial of pain.
Content outline: Basic Nursing Skills - Pain Observation and Reporting · From the Basic Nursing Skills practice bank (BN-054).