Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Neuro/Muscular

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The appropriate nursing action for a client experiencing expressive aphasia following a brain attack would be to:
  1. Help the client and family accept the permanent disability
  2. Associate words with physical objects
  3. Wait indefinitely for client to verbalize
  4. Tell the family that the client cannot communicate
Explanation
Answer - B - The client needs an opportunity to receive word images. Point to the object and clearly enunciate its name. Also, the client with expressive aphasia needs the chance to practice repeating words. To consider the impairment permanent would be premature. Waiting may increase the client’s frustration. Try to anticipate the client’s needs to reduce feelings of helplessness. The nurse plays an important part in showing the family members how to communicate and in not discouraging communication.
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