Question

a nurse is assisting with the plan of care for a client who has aphasia following a stroke. which of the following interventions should the nurse use to assist the client with communication?

• provide an artificial voice box.
• avoid using facial gestures.
• speak to the client in a louder voice.
• ask the client close - ended questions.

Explanation:

• For "Provide an artificial voice box": Aphasia is a language disorder, not a vocal cord issue, so an artificial voice box is not appropriate.
• For "Avoid using facial gestures": Facial gestures can aid communication for aphasic clients, so avoiding them is incorrect.
• For "Speak to the client in a louder voice": Aphasia affects language, not hearing (unless concurrent hearing loss, which isn't stated), so louder voice isn't helpful.
• For "Ask the client close - ended questions": Close - ended questions (yes/no, multiple - choice - type) are easier for aphasic clients to respond to as they require less complex language production.

Answer:

D. Ask the client close - ended questions.