A nurse is communicating with a client who has aphasia due to a stroke. Which strategy should the nurse use to facilitate effective communication with this client?

Correct answer: B) Use gestures and pictures to supplement verbal communication.

Rationale: The nurse should use gestures and pictures to supplement verbal communication, as this helps to convey meaning and clarify messages for clients who have difficulty understanding or producing speech due to aphasia. Gestures and pictures can also help to reduce frustration and anxiety for both parties.

Incorrect options:

A) Speak loudly and slowly to the client. - This is an inappropriate strategy, as speaking loudly and slowly to the client may imply that they are hard of hearing or cognitively impaired, which can be insulting and demeaning. The nurse should speak clearly and at a normal volume and pace, unless there is evidence of hearing loss or cognitive impairment.

C) Ask open-ended questions to elicit more information from the client. - This is an ineffective strategy, as asking open-ended questions may overwhelm or confuse clients who have difficulty expressing themselves due to aphasia. The nurse should ask simple, yes-or-no questions or offer choices that require minimal verbal responses from the client.

D) Finish the client's sentences when they have difficulty expressing themselves. - This is a disrespectful strategy, as finishing

the client's sentences may interrupt their thoughts or impose words that they do not intend to say. The nurse should allow adequate time for the client to communicate and encourage them to use alternative methods, such as writing or pointing, if needed.

Correct answer: D) Respect different opinions and perspectives from other team members.

Rationale: The nurse should respect different opinions and perspectives from other team members, as this fosters a culture of mutual trust, collaboration, and shared decision-making among interprofessional team members. Respecting diversity also enhances creativity and innovation in problem-solving and improves client outcomes.

Incorrect options:

A) Delegate tasks according to each team member's scope of practice and expertise. - This is a correct action, but not

the best answer, as delegating tasks according to each team member's scope of practice and expertise is only one aspect of effective teamwork. The nurse should also respect different opinions and perspectives from other team members, as this is more relevant to promoting effective teamwork than delegating tasks.

B) Communicate with other team members using abbreviations and jargon for efficiency. - This is an incorrect action, as communicating with other team members using abbreviations and jargon may lead to miscommunication, errors, or confusion among interprofessional team members who may not be familiar with the terms. The nurse should communicate with other team members using clear, concise, and standardized language for accuracy and clarity.

C) Make decisions based on evidence-based practice and best available data. - This is a correct action, but not the best answer, as making decisions based on evidence-based practice and best available data is a common goal and expectation for all interprofessional team members, not a specific action that promotes effective teamwork. The nurse should respect different opinions and perspectives from other team members, as this is more relevant to promoting effective teamwork than making decisions.