A nurse is caring for a client who has expressive aphasia. Which of the following actions should the nurse take to assist the client in overcoming communication barriers?

A. Providing educational materials with large print is beneficial for clients who have visual impairments or mild cognitive deficits, but it does not address communication difficulties related to expressive aphasia. Expressive aphasia affects a person’s ability to produce spoken or written language, not their ability to read printed material. B. A mechanical voice amplifier increases volume but does not help clients who struggle with word finding, sentence formation, or verbal expression. In expressive aphasia (also called Broca’s aphasia), the problem lies in language production, not vocal strength or clarity. Therefore, amplification devices do not improve communication effectiveness. C. Establishing alternatives to verbal communication—such as using picture boards, communication cards, writing tools, gestures, or electronic devices—allows the client to express needs, emotions, and choices effectively despite verbal limitations. These methods reduce frustration, foster independence, and maintain the client’s participation in decision-making. The nurse should also allow extra time for the client to respond and validate their attempts to communicate. D. Ensuring that the client’s glasses are available promotes optimal vision, which is important for safety and participation in activities, but it does not directly assist with communication difficulties caused by expressive aphasia. Visual aids may complement communication tools, but the priority action is to provide alternative methods to express language.