The client has experienced a cerebrovascular accident (stroke) with resultant expressive aphasia. How can the nurse promote communication with this client?
a. Speak very loudly and slowly.
b. Speak to the client on the unaffected side.
c. Use a picture chart for the client's responses.
d. Use hand gestures to convey information to the client.
C
For the client with aphasia, the nurse can communicate by using a picture chart or communication board for the client's responses.
The nurse should not speak loudly and slowly to the client with expressive aphasia. The client is able to understand; this may seem patronizing to the client.
The nurse should not speak to the client on the unaffected side, as this will not improve commu-nication.
Using hand gestures to convey information to the client may be helpful for the client with recep-tive aphasia, not expressive aphasia.
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