Restorative CareQuestion 125 of 200

A resident with expressive aphasia after a stroke struggles to find words. The BEST CNA approach is to:

a.Speak loudly and slowly, as though the resident were hearing-impaired, and repeat each word until she is able to answer
b.Allow extra time, use simple yes/no questions, picture boards, and avoid finishing sentences for the resident
c.Avoid talking to the resident during care so she does not become frustrated
d.Insist that the resident write out every request in complete sentences

Explanation

Expressive (Broca's) aphasia means the resident understands but has difficulty producing speech. Best practice: allow processing time, use simple closed-ended questions, offer picture/letter boards, and let the resident finish their own thoughts. Speaking loudly (a) confuses the issue with hearing loss. Avoiding speech (c) violates the resident's right to communication and dignity under 42 CFR §483.10. Forcing writing (d) ignores that writing is often also impaired. Title 22 CCR §72527 protects communication rights.

Law Reference: 42 CFR §483.10; 42 CFR §483.25

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