Home › CNA Practice Tests › Basic Nursing Skills Questions › Question 59
How should the assistant document a resident's pain in the chart or report form?
- A.Write a personal diagnosis of the pain's cause
- B.State that the pain is not real without evidence
- C.Quote the resident's words and add clear observed behaviors
- D.Copy the previous day's pain note word for word
Correct answer
C. Quote the resident's words and add clear observed behaviors
Why
Accurate documentation uses the resident's own description plus objective observations such as grimacing or guarding. Assistants should not add diagnoses or copy old notes.
Content outline: Basic Nursing Skills - Pain Observation and Reporting · From the Basic Nursing Skills practice bank (BN-059).