Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
14. How should a nurse caring for an elderly client with receptive and expressive aphasia communicate with the client? Select all that apply.
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
14. How should a nurse caring for an elderly client with receptive and expressive aphasia communicate with the client? Select all that apply.
. Speak loudly.
. Use a picture board or flash cards.
. Use hands to communicate.
. Speak slowly.
. Encourage the client to initiate meaningful communication.
.Provide support and encouragement.
Test-Taking Tip
Be aware that the stem asks for specific approaches.
Content Area: Geriatrics, Sensory; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Therapeutic Communications
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
. . .
Answer 1 is incorrect because the nurse needs to speak distinctly, not loudly. Answer 2 is correct because a visual mode is helpful when the client has difficulty hearing (auditory aphasia, receptive) or writing (expressive aphasia, visual). Answer 3 is correct because using gestures such as pointing is one way to establish and encourage communication. Answer 4 is correct because facing the client and speaking slowly allows time to respond. Answer 5 is incorrect because, with expressive aphasia, the client will have difficulty in initiating speech, but may be able to articulate words that have no meaning. Answer 6 is incorrect because, although support and encouragement need to be offered, these are general nursing approaches and not specific to this client.