A client with expressive aphasia is most likely to communicate in which way?
Explanation & Rationale
A. "They are unable to comprehend speech and cannot form words." describes global aphasia, not expressive aphasia. In global aphasia, both comprehension and expression are severely impaired. This does not match the typical presentation of expressive aphasia. B. "They understand speech but struggle to articulate full sentences." is correct. expressive aphasia, also called Broca’s aphasia, is characterized by intact comprehension with difficulty in verbal expression. Clients can understand what is said to them but have trouble forming complete sentences, often speaking in short, fragmented phrases or single words. This is the hallmark presentation. C. "They speak in long, flowing sentences with no meaning" describes Wernicke’s aphasia, a type of receptive aphasia, where speech is fluent but nonsensical, and comprehension is impaired. This is not consistent with expressive aphasia. D. "They speak fluently, but their words include unnecessary and made-up terms" also aligns with Wernicke’s or other fluent aphasias involving neologisms. Expressive aphasia typically involves non-fluent, effortful speech rather than fluent but meaningless speech.