A client with expressive aphasia is most likely to communicate in which way?
They are unable to comprehend speech and cannot form words.
They understand speech but struggle to articulate full sentences.
They speak in long, flowing sentences with no meaning
They speak fluently, but their words include unnecessary and made-up terms.
The Correct Answer is B
A. "They are unable to comprehend speech and cannot form words." describes global aphasia, not expressive aphasia. In global aphasia, both comprehension and expression are severely impaired. This does not match the typical presentation of expressive aphasia.
B. "They understand speech but struggle to articulate full sentences." is correct. expressive aphasia, also called Broca’s aphasia, is characterized by intact comprehension with difficulty in verbal expression. Clients can understand what is said to them but have trouble forming complete sentences, often speaking in short, fragmented phrases or single words. This is the hallmark presentation.
C. "They speak in long, flowing sentences with no meaning" describes Wernicke’s aphasia, a type of receptive aphasia, where speech is fluent but nonsensical, and comprehension is impaired. This is not consistent with expressive aphasia.
D. "They speak fluently, but their words include unnecessary and made-up terms" also aligns with Wernicke’s or other fluent aphasias involving neologisms. Expressive aphasia typically involves non-fluent, effortful speech rather than fluent but meaningless speech.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Giving away personal belongings is a significant warning sign of suicidal ideation because it may indicate preparation for death and closure. Adolescents who are planning suicide sometimes distribute prized possessions as a way to say goodbye, making this behavior a direct and urgent indicator of risk.
B. Decline in academic performance can be associated with depression or stress but is a nonspecific indicator. While concerning, it does not directly signal imminent suicide risk.
C. Withdrawal from social activities is a common symptom of depression or social anxiety. Although it increases vulnerability and may correlate with suicidal ideation, it is not as direct a warning sign as giving away belongings.
D. Frequent fatigue and headaches are physical symptoms that can accompany depression or stress but are not specific indicators of suicide risk.
Correct Answer is A
Explanation
A. Postpartum depression is characterized by persistent feelings of sadness, guilt, inadequacy, loss of interest in activities (anhedonia), sleep disturbances, and difficulty bonding with the infant. It typically occurs within the first few weeks to months after delivery and lasts longer than 2 weeks. At 3 weeks postpartum, ongoing guilt and loss of interest are consistent with postpartum depression.
B. Postpartum blues, commonly referred to as baby blues, usually begin within the first few few days after delivery and resolve within 10 to 14 days. Symptoms include mild mood swings, tearfulness, and anxiety, but they are transient and less severe. The client’s symptoms lasting 3 weeks exceed the typical duration of postpartum blues.
C. Baby blues is another term for postpartum blues and is characterized by short-term emotional lability shortly after birth. It does not involve persistent feelings of guilt, incompetence, or loss of interest lasting several weeks. Therefore, this is not the most appropriate answer.
D. Postpartum psychosis is a rare but severe condition that includes hallucinations, delusions, paranoia, confusion, and potential risk of harm to self or the infant. The client is not exhibiting psychotic symptoms, so this diagnosis is not supported by the assessment findings.
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