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    HESI Health Assessment WGU d344 Proctored Exam

    During an admission assessment, which approach should the nurse use to assess a client's speech patterns?

    Explanation & Rationale

    A. Having the client repeat a phrase containing alliteration can assess articulation and phonation but does not provide a comprehensive evaluation of overall speech patterns, including fluency, coherence, and comprehension. B. Noting the client's responses during the initial interview is an effective way to assess speech patterns in a natural, conversational context. This approach allows the nurse to evaluate the client's language use, coherence, and any speech abnormalities. C. Asking the client to complete a common proverb or saying can assess abstract thinking and cognitive function but is not specifically aimed at evaluating speech patterns such as fluency or coherence. D. Listening while the client reads items listed on the menu might assess reading ability and articulation but does not provide a full assessment of conversational speech patterns or the ability to express thoughts coherently.

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