Difficulty: Medium
Average Score: 90%
Simulated
A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
Correct answer
C
Rationale
The correct answer is C because grimacing when moving is an observable behavior that is considered an objective indicator of pain. Grimacing is a nonverbal cue that can suggest pain without the client having to verbalize it. This behavior is a physical manifestation that can be observed by the nurse, making it an objective indicator. The other choices involve subjective experiences or verbal reports of pain, which can vary based on individual perception and interpretation. For example, choice A relies on the client's self-report, which is subjective. Choice B describes a sensory experience, which is also subjective. Choice D relates to the location of pain, which is again subjective unless accompanied by observable behaviors like grimacing. Therefore, choice C is the correct answer as it provides an objective indicator that the nurse can directly observe.