Practice Question
A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Allow extra time to communicate with the client.
Rationale:
🟦 Clients with impaired speech often require additional time to form words, process language, and express their needs meaningfully.
🟦 Providing extra time demonstrates respect, patience, and therapeutic communication, which builds trust and reduces frustration.
🟦 This approach avoids pressuring the client, which could worsen communication difficulties and increase anxiety.
🟦 Allowing extra time also ensures the client maintains autonomy by giving them the opportunity to communicate independently.
🟦 Therefore, this is the most appropriate and effective action when caring for a client with impaired speech.
Finish sentences for the client.
🟦 Completing the client’s sentences can make them feel disrespected or rushed, undermining their independence.
🟦 This action may lead to incorrect assumptions, causing miscommunication or misunderstanding of the client’s true needs.
🟦 It also removes the client’s opportunity to practice and improve their communication skills.
🟦 Clients with impaired speech often need empowerment, not replacement of their communication efforts.
🟦 Therefore, finishing their sentences is not therapeutic and should be avoided.
Ask open-ended questions.
🟦 Open-ended questions require longer, more complex responses, which can be challenging for individuals with impaired speech.
🟦 This can increase frustration and reduce the client’s ability to communicate effectively.
🟦 Closed or simple yes/no questions are more appropriate, as they require minimal verbal output.
🟦 The goal is to facilitate communication, not increase cognitive or verbal burden.
🟦 Therefore, open-ended questions are not the best approach for a speech-impaired client.
Avoid using visual aids for communication.
🟦 Visual aids such as pictures, gestures, communication boards, or written words enhance understanding and support expressive communication.
🟦 Avoiding visual aids eliminates a valuable tool that compensates for speech deficits.
🟦 Clients with speech impairment frequently rely on nonverbal communication methods to express needs clearly.
🟦 Using visual aids improves accuracy, reduces frustration, and supports client autonomy.
🟦 Therefore, avoiding visual aids is not appropriate and would hinder communication.
Want to practice more questions like this?
This question is from Custom NUR 112 Exam #7 FA25 which contains 49 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: 💫PN Custom Exam(s)
- Answer Choices: 4