A nurse is teaching a client who has an ileostomy about the care of their stoma site. Which of the following statements made by the client indicates the teaching was effective?

Rationale:
A. Establish alternatives to verbal conversation: Expressive aphasia affects a person’s ability to produce speech, so using alternative communication methods—such as picture boards, writing tools, or gestures—helps the client express needs effectively.

B. Provide educational materials with large print: Large-print materials are helpful for clients with visual impairments, not speech difficulties. Since expressive aphasia is a language production disorder, adjusting text size does not facilitate communication or address the underlying deficit.

C. Use a mechanical voice amplifier: A voice amplifier is beneficial for clients who can speak but have weak vocal strength, such as those with vocal cord paralysis. It is ineffective for clients with expressive aphasia because the issue lies in word formation, not vocal volume.

D. Have the client's glasses brought from home: Glasses improve visual acuity but do not address the client’s difficulty in forming words or sentences. While ensuring clear vision is supportive, it does not directly enhance the client’s ability to communicate verbally.

Rationale:
A. Diabetes screening: Screening is a form of primary or secondary prevention, aimed at early detection or prevention of disease, rather than tertiary prevention. It helps identify risk factors before complications develop.

B. Family planning: Family planning is a primary prevention strategy, focusing on preventing unintended pregnancies and promoting reproductive health. It does not address the management of existing conditions or complications.

C. Nutrition counseling: Nutrition counseling can serve as primary or secondary prevention depending on context, such as preventing chronic disease or managing early-stage conditions. It is not typically considered tertiary prevention.

D. Physical therapy: Physical therapy is a tertiary prevention intervention because it aims to improve function, reduce complications, and enhance quality of life for clients who already have a health condition. It helps manage existing disease and prevent further disability.