For a client with receptive aphasia, which one of the following nursing interventions is the most effective?
1. Providing the client with a letter chart to use to answer complex questions
2. Using a system of simple gestures and repeated behaviors to communicate
3. Offering the client a notepad to write questions and concerns
4. Obtaining a referral for a speech therapist
ANS: 2
If the client has problems with comprehension, as in receptive aphasia, the nurse should use sim-ple short questions, facial gestures, and repeated behaviors to communicate. Providing a client with a letter chart would be more appropriate for the client with expressive aphasia. Questions should be simple, not complex, to aid comprehension. A notepad would be appropriate for the client with expressive aphasia, not receptive aphasia. Clients with expressive aphasia often require a speech therapist, not a client with receptive aphasia.
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