The nurse is caring for a client who has had a stroke. Since the stroke, the client has trouble saying words correctly and his speech seems slurred. The nurse documents this speech pattern as:
A) dysarthria.
B) anomic aphasia.
C) dysphasia.
D) expressive aphasia.
Ans: A
Feedback:
Clients with dysarthria usually have normal auditory comprehension and can select and order words correctly. They have a motor speech disorder which makes it difficult to say words and sounds precisely using appropriate stress, loudness, pitch, and control. The result is speech described as slurred, heavy, or unclear. Expressive aphasia (also called Brocas, motor, or nonfluent aphasia) is characterized by limited speech that is slow and halting with great effort, reduced grammar, and poor articulation. Anomic or amnesic aphasia is characterized predominantly by word-finding problems of a milder nature than expressive aphasia. The speech is fluent and grammatically correct.
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