A 92 year old stroke client cannot speak. Which action would assist in communicating with this client?
Explanation & Rationale
A. Ask his wife: While family members may help interpret the client’s needs, relying solely on a family member does not promote independent communication or respect the client’s autonomy. It may also lead to misinterpretation if the family cannot accurately convey the client’s intentions. B. Use hand signals: Hand gestures can provide some nonverbal communication, but they are limited and may be misinterpreted, especially if the client’s motor skills are impaired after a stroke. Hand signals alone are not sufficient for complex or specific communication needs. C. Use a communication board: Communication boards allow clients with expressive aphasia to point to letters, words, or pictures to convey messages. This method accommodates both verbal and cognitive limitations, facilitates more precise communication, and encourages client autonomy while reducing frustration and miscommunication. D. Speak slowly and clearly: Speaking slowly and clearly may improve understanding for clients with receptive aphasia, but it does not enable a client with expressive aphasia to communicate their needs effectively. The client’s inability to speak requires an alternative communication method rather than adjustments to speech alone.