A nurse is caring for a client with myasthenia gravis. The client is having difficulty forming words and his tone is nasal. Which of the following is an effective communication strategy for this client?
A) Engage the client in a lengthy discussion to strengthen his voice.
B) Encourage the client to speak quickly while talking.
C) Repeat what the client has said to verify the meaning.
D) Nod continuously when the client is talking.
Ans: C
The client is having a problem forming words and has a nasal tone due to a nerve involvement that controls speech. For effective communication, the nurse should repeat and verify whatever the client says. The nurse should ask those questions which can be answered in a yes or no form. Lengthy discussions may tire the client. Encouraging the client to speak quickly is inappropriate. Nodding continuously when the client is talking would not facilitate an effective communication strategy.
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