Which intervention is therapeutic when facilitating communication with a cognitively impaired older client? (Select all that apply.)

A. Allowing for additional time for the client to respond to questions or directions: Older adults, especially those with cognitive impairment, often need more time to process information. Allowing extra time promotes understanding and reduces anxiety. B. Giving instructions to a group whenever possible to provide peer support: Group instructions may confuse cognitively impaired individuals. One-on-one communication is more effective as it reduces distractions and personalizes instructions. C. Using nonverbal as well as verbal cues to help get your message across to the client: Nonverbal cues (like gestures, facial expressions) can reinforce verbal messages and help overcome cognitive barriers. D. Explaining a task using simple, concise phrasing and one step at a time: Simplified, stepwise instructions reduce cognitive overload and improve understanding and compliance. E. Speaking loudly to gain and retain the client's attention: Loud speech can be interpreted as shouting or aggressive, causing distress. Instead, speak clearly and at a moderate pace.