A client has suffered a stroke that has affected his speech. The physician has identified the client as having expressive aphasia. Later in the day, the family asks the nurse to explain what this means. The most accurate response would be aphasia that is:
A) Characterized by an inability to comprehend the speech of others or to comprehend written material
B) Nearly normal speech except for difficulty with finding singular words
C) Manifested as impaired repetition and speech riddled with letter substitutions, despite good comprehension and fluency
D) Characterized by an inability to easily communicate spontaneously or translate thoughts or ideas into meaningful speech or writing
Ans: D
Feedback:
Expressive or nonfluent aphasia is characterized by an inability to easily communicate spontaneously or translate thoughts or ideas into meaningful speech or writing. Conduction aphasia is manifest as impaired repetition and speech riddled with letter substitutions, despite good comprehension and fluency. Anomic aphasia is speech that is nearly normal except for difficulty with finding singular words. Wernicke aphasia is characterized by an inability to comprehend the speech of others or to comprehend written material.
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