The nurse is caring for a patient with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?
a. Patient will carry a pen and a pad of paper around for communication.
b. Patient will recover full use of speech vocabulary in 1 day.
c. Patient will thicken drinks to prevent aspiration.
d. Patient will communicate nonverbally.
ANS: D
Expressive aphasia, a motor type of aphasia, is the inability to name common objects or express simple ideas in words or writing. To adapt to expressive aphasia, the nurse and the patient need to work on ways to communicate nonverbally through means such as pointing and gestures. Goals and outcomes need to be realistic and measurable; recovery in 1 day is not realistic. A patient who has expressive aphasia may not be able to speak or write words with a pen and paper. Thickening drinks prevents aspiration risk and is not included in a plan of care for this patient.
You might also like to view...
Which of the following is not an advantage of walking nursing rounds?
a. time efficiency c. opportunity for teaching b. involvement of the patient d. team-building among nurses
When teaching a client with tuberculosis being treated with isoniazid, the nurse understands this client needs:
a. supplemental fat-soluble vitamins. c. increased iron in his diet. b. pyridoxine supplementation. d. decreased riboflavin in his diet.
A man is scheduled for hospital outpatient surgery. He tells the nurse, "I don't know what that word, outpatient, means." How would the nurse respond?
A) "It means you will have surgery in the hospital and stay for 2 days." B) "It means the surgeon will come to your home to do the surgery." C) "Why would you ask such a question? Don't worry about it." D) "You will have surgery and go home that same day."
A nurse wants to present information about flu immunizations to the elderly in the community. Which type of communication should the nurse use?
a. Interpersonal b. Public c. Transpersonal d. Small group