The nurse is caring for a client who has a head injury and aphasia. Which intervention(s) does the nurse implement to enhance the client's ability to communicate? (Select all that apply.)
1. Clarify nonverbal messages
2. #the client's partner
3. Read client's body language
4. Pose "yes" or "no" questions
5. Speak face-to-face with client
6. Ask several questions in a row
1, 3, 4, 5
1 and 3. A client with aphasia has difficulty expressing or receiving and interpreting certain types of communication, so the nurse increases understanding of the client's message, attitude, and needs by analyzing nonverbal cues and clarifying their meaning.
4. "Yes and no" questions are usually the easiest for a client with a sensory alteration because the client can nod, point, or indicate the answer in another simple manner.
5. The client's ability to receive and understand the nurse's message is enhanced when addressing the client directly.
2. Directing questions to another person in the client's presence conveys a lack of respect and is an indirect method of determining client needs; the client is the best and the first person the nurse addresses about client needs.
6. Asking a series of questions is likely to confuse or frustrate the client who cannot respond quickly enough or who has difficulty understanding. In addition, the succession of unanswered questions displays lack of respect and consideration for the client.
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