A patient is diagnosed with expressive aphasia following a cerebrovascular accident. Which communication technique should the nurse prioritize to facilitate effective communication?
Provide a speech-generating device for communication
Speak slowly and use simple sentences to aid comprehension.
Encourage the patient to use gestures or drawings
Use written communication to ensure understanding
The Correct Answer is C
A. Provide a speech-generating device for communication: While helpful for some patients with expressive aphasia, devices may be complex or unfamiliar to a patient immediately post-stroke. It is more appropriate as an adjunct once the patient is comfortable using it.
B. Speak slowly and use simple sentences to aid comprehension: This technique supports patients with receptive aphasia, who have difficulty understanding language. For expressive aphasia, comprehension is typically intact, so this does not directly address their communication needs.
C. Encourage the patient to use gestures or drawings: Patients with expressive aphasia can understand language but have difficulty verbalizing thoughts. Using nonverbal methods such as gestures, drawings, or pointing allows the patient to convey ideas effectively and reduces frustration, facilitating meaningful communication.
D. Use written communication to ensure understanding: Writing may be difficult for patients with expressive aphasia, especially if fine motor or language expression deficits are present. This method may not be as effective initially as gestures or drawings.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Focusing solely on physical symptoms and ignoring emotional needs: Palliative care addresses the whole person, including emotional, psychological, spiritual, and social needs. Ignoring emotional aspects does not align with palliative care principles.
B. Discontinuing all medications: Stopping medications without considering symptom management or quality of life can cause unnecessary suffering. Palliative care focuses on comfort, not indiscriminate discontinuation of treatments.
C. Encouraging the client to undergo aggressive curative treatments: Palliative care emphasizes quality of life and symptom relief rather than pursuing aggressive interventions when they may not provide meaningful benefit.
D. Managing the client's dyspnea and pain effectively: Symptom management, such as controlling dyspnea and pain, is central to palliative care. This approach prioritizes comfort, dignity, and quality of life for clients with advanced illness.
Correct Answer is B
Explanation
A. Allowing the client to talk during the measurement: Talking can cause slight elevations in blood pressure readings but is generally less impactful than using an incorrectly sized cuff. Proper technique still allows accurate assessment if the client remains mostly still and quiet.
B. Using a cuff that is too small for the client: A cuff that is too small increases the pressure required to occlude the artery, resulting in falsely high blood pressure readings. Correct cuff size is essential for accurate measurement, making this the most significant error.
C. Positioning the client's arm below heart level: An arm below heart level can elevate readings slightly due to hydrostatic pressure, but the effect is usually less than that caused by an improper cuff size. Proper positioning remains important for accuracy.
D. Using the same arm repeatedly without a break: Repeated measurements without a short rest may cause discomfort or transient changes but is unlikely to produce as significant an error as using an incorrectly sized cuff. Rotating arms or allowing rest can improve reliability.
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