The nurse is caring for a client with expressive aphasia. Which should the nurse use as an outcome for this client?

Question

1. Instruct client to write all communication with pencil and paper.
2. Client will communicate with clearly spoken words in 1 week.
3. Client will use an alternative communication method in 1 week.
4. Impaired communication pattern related to cerebrovascular accident

Answer 1

3
3. Expecting the client to use an alternative communication method in 1 week is a reasonable outcome for someone with expressive aphasia and gives the nurse enough time to instruct the client and reinforce teaching.
1. Instructing the client to write is a nursing action.
2. Speaking clearly in 1 week is an unrealistic outcome for this client because the client may never recover the lost ability depending on the nature of the cerebral damage.
4. Impaired communication pattern is a nursing diagnosis and cannot serve as an outcome.