A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?
"Use simple, childlike statements when speaking."
"Incorporate nonverbal cues in the conversation."
"Use a higher-pitched tone of voice when speaking."
"Ask multiple choice questions as part of the conversation."
The Correct Answer is B
A. Using simple language is helpful, but speaking in a childlike manner can be demeaning and may lower the client’s self-esteem. Communication should remain respectful and age-appropriate.
B. Incorporating nonverbal cues such as gestures, facial expressions, pictures, and written words supports understanding. Clients with aphasia often benefit from visual aids and other alternative communication strategies to enhance comprehension.
C. Raising the pitch of the voice does not improve comprehension in aphasia because the issue is related to language processing rather than hearing ability. A normal tone should be maintained unless the client has a hearing impairment.
D. Asking multiple-choice questions can sometimes assist with expressive aphasia; however, relying solely on this method may limit natural communication. The broader and more supportive approach is to incorporate nonverbal communication techniques.
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Related Questions
Correct Answer is D
Explanation
The nurse should place a towel under the client's head to protect it from injury during the seizure. The nurse should also loosen any tight clothing, remove any objects that could harm the client, and maintain a patent airway.
Place the client in a prone position is wrong because it can compromise the client's breathing and increase the risk of aspiration. The nurse should place the client in a side-lying position after the seizure to facilitate drainage of oral secretions and prevent aspiration.
Holding the client's arms and legs still is wrong because it can cause injury to the client or the nurse. The nurse should not restrain or interfere with the client's movements during the seizure but rather ensure a safe environment and observe the seizure activity.
Leaving the client to get help is wrong because it can endanger the client's safety and well-being. The nurse should stay with the client during the seizure and call for assistance if needed, but not leave the client alone or unattended.
Correct Answer is B
Explanation
A. Alcohol should be limited to no more than one drink per day for women and two for men; three drinks a day exceeds recommended limits.
B. Reducing saturated fat intake to around 10 percent of daily calories helps manage hypertension and supports overall cardiovascular health.
C. Diuretics are commonly prescribed for hypertension, but medication choice depends on the client’s individual needs and risk factors; it is not universally the first-line option.
D. Achieving goal blood pressure varies among clients and may take longer than 2 months; it cannot be guaranteed within a specific timeframe.
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