The nurse is caring for a patient with expressive aphasia from a traumatic brain injury. Which desired outcome should be included in the plan of care?
a. Patient will recover full use of speech vocabulary in 1 week.
b. Patient will carry a pen and a pad of paper around for communication.
c. Patient will thicken drinks to prevent aspiration.
d. Patient will communicate nonverbally.
D
Patients with expressive aphasia may take a prolonged time to regain speech function, depending on the cause of the incident. To adapt to expressive aphasia, the nurse and the patient need to work on ways to communicate nonverbally through means such as pointing and gestures. A patient who has expressive aphasia may not be able to speak or write words. Thickening drinks prevents aspiration risk and is not included in a plan of care for this patient.
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