Which intervention should the nurse prioritize for an elderly client with a history of cerebrovascular accident (CVA) and expressive aphasia to improve communication?
Explanation & Rationale
A. Encouraging the use of long sentences is inappropriate for a client with expressive aphasia. expressive aphasia affects the ability to formulate and articulate language, so long sentences can increase frustration and hinder communication. B. Avoiding visual aids is incorrect. Visual aids are highly beneficial for clients with aphasia, as they provide alternative ways to express thoughts and understand messages. C. Providing a whiteboard and markers for writing key phrases is correct. This intervention allows the client to express needs, thoughts, or questions nonverbally, facilitating communication despite expressive language difficulties. Using alternative communication tools, such as written words, picture boards, or gestures, is a priority strategy to improve understanding and reduce frustration. D. Offering complex verbal instructions is inappropriate. Clients with expressive aphasia may struggle with both comprehension and expression, so complex instructions can increase confusion and anxiety.