When assessing a client with expressive aphasia, which communication strategy should the nurse use?

When assessing a client with expressive aphasia, facing the client directly when asking a question is crucial because it facilitates better non-verbal communication, allowing the client to receive visual cues and engage more effectively. This approach respects the client's dignity and promotes a more personalized interaction. It also helps the nurse gauge the client’s non-verbal responses and emotions, which can be especially important when verbal expression is limited.

Utilizing other communication methods, such as speaking loudly, may not significantly aid in understanding, as the issue is not with hearing but with producing language. Relying solely on written communication can be limiting, especially if the client struggles with reading or interpreting written words, which can often accompany expressive aphasia. Additionally, providing information in a group setting may overwhelm the client and is less likely to offer the individualized support they may need to communicate effectively. Engaging face-to-face is therefore the most appropriate strategy to enhance communication and understanding.