A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Avoid the use of facial gestures during the instructions.

Determine the client's ability to use a communication board.

Speak with a loud voice while providing the information.

Provide the teaching without expecting the client to respond.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Avoiding the use of facial gestures during the instructions may not be effective for a client with expressive aphasia.

B. Determining the client's ability to use a communication board is appropriate because it helps the nurse understand how the client communicates.

C. Speaking with a loud voice while providing the information may not be effective for a client with expressive aphasia.

D. Providing the teaching without expecting the client to respond may not be effective for a client with expressive aphasia.

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Correct Answer is C

Explanation

Rationale:

A. Rapid chewing is not a manifestation of dysphagia.

B. Increased hunger is not a manifestation of dysphagia.

C. A garbled voice can be a manifestation of dysphagia, as it may indicate difficulty swallowing or speaking.

D. Sneezing is not a manifestation of dysphagia.

A. Provide the client with three large meals each day. B. Limit snacks between meals. C. Provide the client with finger foods for meals. D. Restrict visitors during meals.

Correct Answer is C

Explanation

Rationale:

A. Providing the client with three large meals each day may be overwhelming and may not promote an increase in food intake.

B. Limiting snacks between meals may not promote an increase in food intake and may contribute to malnutrition.

C. Providing the client with finger foods for meals is a practical approach that can promote an increase in food intake and reduce the risk of malnutrition.

D. Restricting visitors during meals may not promote an increase in food intake and may contribute to social isolation.

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Nursing Test Bank

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