The nurse is caring for a client who has been diagnosed with a cerebral vascular accident and subsequent expressive aphasia. In which manner does the nurse best promote communication?
A) Ask open-ended questions and allow time for the client to respond.
B) Use head nods and shakes to convey answers to questions.
C) Use hand gestures to facilitate nursing care.
D) Use a picture board with common responses.
D
Feedback:
For clients with aphasia, it is most helpful to have a picture board with responses to convey meaning. This decreases some frustration and allows the client to have some control over care. Asking closed-ended questions with limited responses and allowing for additional response time is appropriate. Head nods and hand gestures are limited ways of communication.
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