For the client with receptive aphasia, which of the following ...

[melly21297]

For the client with receptive aphasia, which of the following nursing interventions is the most effective?
 
  a. Providing the client with a letter chart to use to answer complex questions
  b. Using a system of simple gestures and repeated behaviours to communicate
  c. Offering the client a notepad to write questions and concerns
  d. Obtaining a referral for a speech therapist

Question 2

The nurse delegates morning care to a new unregulated care provider (UCP). Which of the following actions by the UCP would be evaluated as appropriate?
 
  a. Placing dentures in a tissue while they are not being worn by the client
  b. Cutting the client's nails with scissors
  c. Using soap to cleanse the client's eye area
  d. Washing the client's legs with long strokes from the ankle to the knee

[SAUXC]

Answer to Question 1

B
If the client has problems with comprehension, as in receptive aphasia, the nurse should use sim-ple short questions, facial gestures, and repeated behaviours to communicate.
Providing a letter chart would be more appropriate for the client with expressive aphasia. Ques-tions should be simple, not complex, to aid comprehension.
A notepad would be appropriate for the client with expressive aphasia, not receptive aphasia.
Clients with expressive aphasia (but not clients with receptive aphasia) often require a speech therapist.

Answer to Question 2

D
To promote venous return, the UCP should use long strokes, washing the client's legs from the ankle to the knee and from the knee to thigh.
To prevent warping, dentures should be kept covered in water when they are not worn, and they should be stored in an enclosed, labelled cup, with the cup placed on the client's bedside stand.
The client's nails should be clipped with nail clippers straight across and even with the tops of the fingers, and then filed. Scissors should not be used.
The client's eyes should be washed with plain water, as soap irritates the eyes.