Final answer:
The severity of abdominal pain reported by a patient does not guarantee the presence of tenderness upon examination.
Step-by-step explanation:
When a patient states that their abdomen is very painful, it does not necessarily mean that it will be tender on examination. Pain is a subjective experience and can vary from person to person. Just because a patient describes their pain as severe does not guarantee that there will be tenderness upon examination. The presence of tenderness may depend on the underlying cause of the pain and the individual's sensitivity to pain.