The nurse is caring for a client who had a stroke two weeks ago and has moderate receptive aphasia. Which interventions should the nurse include in the plan of care to help the client follow simple commands regarding activities of daily living (ADL)? Select all that apply.

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Receptive aphasia refers to impairment or loss of language comprehension (ie, speech, reading) that is caused by a neurological condition (eg, stroke, traumatic brain injury). The terms "aphasia" and "dysphasia" can be used interchangeably as both refer to impaired communication; however, "aphasia" is more commonly used. When assisting a client with receptive aphasia to complete activities of daily living, the nurse should avoid completing tasks for the client and should instead encourage independence using appropriate communication techniques. Appropriate interventions to aid communication include: Ask short, simple, "yes" or "no" questions (Option A). Use gestures or pictures (eg, communication board) to demonstrate activities (Option D). Remain patient and calm, allowing the client time to understand each instruction (Option C). (Option B) Clients with aphasia often become frustrated due to inability to communicate effectively. Frustration does not result from the nurse's care, so reassigning the client to a different care provider is not an effective solution. (Option E) Eye contact is important in all communication, but raising the voice will not help. Speaking loudly will not improve comprehension and may increase anxiety and confusion. Educational objective: Receptive aphasia refers to impairment or loss of language comprehension. Appropriate interventions to aid communication include asking short, simple, "yes" or "no" questions; using hand gestures or pictures to demonstrate activities; and patiently allowing the client time to understand each instruction.

The Nurse Is Caring for a Client Who Had a Stroke