MED SURG EXAM 4 |4 VERSIONS OF THE EXAM COMBINED EACH VERSION CONTAINS A 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | UPDATE|A GRADED{REVISED}

MED SURG EXAM 4 |4 VERSIONS OF THE EXAM COMBINED EACH VERSION CONTAINS A 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | UPDATE|A GRADED{REVISED} When communicating with a client who has aphasia, which of the following nursing interventions is not appropriate? 1. Present one thought at a time. 2. Encourage the client not to write messages. 3. Speak with normal volume. 4. Make use of gestures. - ANSWER- 2. RATIONALE: The nurse should encourage the client to write messages or use alternative forms of communication to avoid frustration. Presenting one thought at a time decreases stimuli that may distract the client, as does speaking in a normal volume and tone. The nurse should ask the client to "show me" and should encourage the use of gestures to assist in getting the message across with minimal frustration and exhaustion for the client. For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication? 1. Speaking loudly. 2. Using a picture board. 3. Writing directions so client can read them. 4. Speaking in short sentences. - ANSWER- 2. RATIONALE: Expressive aphasia is a condition in which the client understands what is heard or written but cannot say what he or she wants to say. A communication or picture board helps the client communicate with others in that the client can point to objects or activities that he or she desires. The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following, if stated by the client, indicates an understanding o