Nurse Kristine is trying to communicate with a client with brain attack (stroke) and aphasia

Nurse Kristine is trying to communicate with a client with brain attack (stroke) and aphasia.

Which of the following actions by the nurse would be least helpful to the client?

• A. Speaking to the client at a slower rate
• B. Allowing plenty of time for the client to respond
• C. Completing the sentences that the client cannot finish
• D. Looking directly at the client during attempts at speech.

The least helpful action by the nurse would be

C. Completing the sentences that the client cannot finish.

This action can be frustrating for the client and may discourage them from attempting to communicate. It's important to allow the client to try to express themselves, even if it takes time. By completing their sentences, the nurse is taking away their opportunity to practice and improve their communication skills.

The other options (a, b, and d) are all helpful actions that can improve communication with a client with aphasia. Speaking slowly, allowing plenty of time, and maintaining eye contact can help the client feel more comfortable and understood.

Understanding Aphasiam

Aphasia is a language disorder that can occur after a stroke or brain injury. It affects the ability to produce and understand language. When communicating with a client with aphasia, it's essential to be patient, understanding, and supportive.   

Effective Communication Strategies:

1. Simplify Language:

• Short sentences: Keep sentences brief and to the point.
• Avoid jargon and complex terms: Use simple, everyday language.
• One idea at a time: Focus on one topic or question at a time.

2. Use Visual Cues:

• Gestures and facial expressions: Use non-verbal cues to reinforce your message.
• Pictures and diagrams: Visual aids can help clarify meaning.
• Writing or drawing: If the client is able, encourage them to write or draw.

3. Be Patient and Encouraging:

• Allow ample time: Give the client time to respond without rushing them.
• Avoid correcting errors: Focus on understanding rather than perfection.
• Offer positive reinforcement: Praise the client's efforts, even if communication is limited.

4. Use Alternative Communication Methods:

• Assistive technology: Explore devices that can aid communication, such as speech-to-text or picture communication boards.
• Sign language: If appropriate, learn basic sign language to communicate.
• Writing or typing: If the client can write or type, provide opportunities for them to express themselves.

5. Be Mindful of the Environment:

• Minimize distractions: Create a quiet, calm environment to facilitate communication.
• Maintain eye contact: Show that you are engaged and attentive.
• Listen actively: Pay close attention to the client's attempts to communicate.

6. Seek Professional Guidance:

• Speech therapy: Consult with a speech therapist for specific strategies and support.
• Support groups: Connect with other individuals who have aphasia or care for someone with aphasia.

By implementing these strategies, you can significantly improve your communication with clients with aphasia and help them feel more connected and understood. Remember, patience, empathy, and a willingness to adapt are key to successful communication.