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The Nurse Is Using the Pain Assessment in Advanced Dementia

Question 14

Multiple Choice

The nurse is using the Pain Assessment in Advanced Dementia Scale (PAINAD) to assess an older adult patient with dementia. Which finding would score a 1 for this patient?


A) Loud moaning and groaning
B) Facial grimacing
C) Occasional labored breathing
D) Rigid, clenched fists

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