Certified Respiratory Therapist Practice Exam

When assessing pain in a 2-year-old child, which method should be avoided?

1. Using facial expressions

2. Using a numeric pain scale

3. Observing behavior

4. Asking caregivers for input

The correct answer is: Using a numeric pain scale

Using a numeric pain scale should be avoided when assessing pain in a 2-year-old child because this age group typically lacks the cognitive development necessary to understand and effectively use numerical representations of pain. Numeric scales require an ability to comprehend numbers and make judgments about intensity levels, which may be beyond the capability of toddlers. Instead, alternative methods, such as observing facial expressions, behaviors, and seeking input from caregivers, are much more appropriate for evaluating pain in young children. These methods can provide valuable insights into the child's discomfort without requiring complex cognitive skills that they have not yet developed. Caregivers can offer contextual information and observations that help gauge the child's pain more accurately, while behavioral observation can reveal signs of pain through changes in activity levels, body posture, and expressions.