The client has experienced a cerebral vascular accident (stroke) with

The client has experienced a cerebral vascular accident (stroke) with resultant expressive aphasia. The nurse promotes communication with this client by:

1. Speaking very loudly and slowly
2. Speaking to the client on the unaffected side
3. Using a picture chart for the client’s responses
4. Using hand gestures to convey information to the client

ANSWER

ANS: 3
For the client with aphasia, the nurse can communicate using a picture chart or communication board for the client’s responses. The nurse should not speak loudly and slowly to the client with expressive aphasia. The client is able to understand; this may seem patronizing to the client. The nurse should not speak to the client on the unaffected side, as this will not improve communica-tion. Using hand gestures to convey information to the client may be helpful for the client with receptive aphasia, not expressive aphasia.