NCLEX Developmental Stages ‒ Infancy to Adolescence Practice Exam

Using a visual pain scale with faces is the most effective method for assessing pain in a preschool-aged child with sickle cell anemia because this age group often lacks the verbal skills to accurately describe their pain. A visual pain scale with expressive faces allows children to select an image that best represents their feelings, making it easier for them to communicate their pain level. This method simplifies the assessment process for both the child and the healthcare provider, ensuring that appropriate pain management strategies can be implemented effectively.

Other approaches such as asking the child to describe the pain in words may not yield reliable information since preschoolers may struggle to articulate their feelings or may not fully understand how to express the intensity or nature of their pain. Inquiring about the frequency of pain episodes does not provide a direct measure of the current pain level, and simply administering pain management medications does not assess the pain but rather attempts to treat it without understanding the severity or character of the pain being experienced at the moment. Therefore, the visual pain scale is more aligned with the developmental abilities of preschool children and effectively facilitates pain assessment.