A nurse is providing care for a client in a rehabilitation facility. A nurse is providing care for a client who has aphasia. Which of the following are appropriate nursing interventions for the client? Select all that apply

Aphasia is a language disorder caused by cortical damage, most commonly from stroke, affecting expressive and/or receptive communication while preserving intellectual function. Nursing care focuses on enhancing communication, reducing frustration, and promoting use of alternative communication strategies based on the client’s residual abilities. Rationale: A. Nonverbal communication techniques such as facial expressions, gestures, and visual cues enhance understanding in clients with aphasia. Avoiding facial gestures reduces communication effectiveness and increases frustration. Therefore nonverbal support strategies are essential and should not be avoided. B. Alternative communication assessment is appropriate because clients with aphasia benefit from individualized strategies such as communication boards, gestures, or devices. Monitoring emotional response ensures interventions do not increase anxiety. Thus communication adaptation assessment supports effective nursing care. C. Written communication ability assessment is necessary before providing writing tools because some clients may have concomitant motor or cognitive deficits affecting writing ability. This ensures appropriate selection of communication aids. Therefore functional ability evaluation is a key intervention. D. Removing family support is inappropriate because familiar individuals often enhance communication and reduce anxiety in aphasic clients. Spouses can assist in interpretation and emotional support. Thus social isolation strategy is contraindicated. E. Correcting or shaming communication errors increases frustration and decreases therapeutic rapport. Aphasia is a neurological deficit, not a knowledge issue. Therefore invalidating communication attempt is not an appropriate nursing intervention.