A client with a stroke has damage to Broca's area. What intervention to promote communication is best for this client?
a. Assess whether or not the client can write.
b. Communicate using "yes-or-no" questions.
c. Reinforce speech therapy exercises.
d. Remind the client not to use neologisms.
ANS: A
Damage to Broca's area often leads to expressive aphasia, wherein the client can understand what is said but cannot express thoughts verbally. In some instances the client can write. The nurse should assess to see if that ability is intact. "Yes-or-no" questions are not good for this type of client because he or she will often answer automatically but incorrectly. Reinforcing speech therapy exercises is good for all clients with communication difficulties. Neologisms are made-up "words" often used by clients with sensory aphasia.
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