A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?
Determine the client's ability to use a communication board.
Provide the teaching without expecting the client to respond.
Avoid the use of facial gestures during the instructions.
Speak with a loud voice while providing the information.
The Correct Answer is A
A. Determine the client's ability to use a communication board.: Expressive aphasia affects the ability to produce language. A communication board allows the client to point to pictures or words, facilitating two-way communication during the teaching process.
B. Provide the teaching without expecting the client to respond.: The nurse must evaluate the client’s understanding (the "teach-back" method) to ensure the information was grasped, even if the response is non-verbal.
C. Avoid the use of facial gestures during the instructions.: Non-verbal cues, gestures, and facial expressions are essential tools to help a client with aphasia understand the context of what is being said.
D. Speak with a loud voice while providing the information.: Aphasia is a language processing disorder, not a hearing impairment. Speaking loudly is unnecessary and can be perceived as patronizing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. AP places a weight-sensitive sensor mat on the mattress beneath a client's buttocks.: This is a standard fall-prevention intervention and is not a hazard.
B. Client with a TENS unit reports a buzzing sensation.: This is a normal, expected sensation during TENS therapy.
C. Client with bilateral wrist restraints has a capillary refill of < 2 seconds.: This is a positive finding indicating that the restraints are not too tight and circulation is intact.
D. An assistive personnel raises all four side rails: Raising all four side rails is considered a restraint and is a major safety hazard, as it increases the risk of the client trying to climb over them and falling from a greater height.
Correct Answer is C
Explanation
A. Apply a heating pad to the client's neck.: This is an intervention, but not the priority. Rapid external rewarming can sometimes cause "rewarming shock."
B. Offer the client a warm beverage.: This is helpful but is not the priority action for someone with acute exposure.
C. Provide the client with dry clothing.: According to the Nursing Process, the first priority is to stop the loss of body heat. Wet clothing loses heat 25 times faster than dry clothing; removing it is the most immediate way to stabilize the client.
D. Wrap the client in warm blankets.: This is done after removing wet clothing to begin the rewarming process.
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