What communication method should be used by a nurse caring for a client with expressive aphasia following a stroke?

Using a picture board is an effective communication method for a client with expressive aphasia following a stroke. Expressive aphasia refers to the difficulty in expressing thoughts verbally, often resulting from damage to specific areas of the brain responsible for language. A picture board allows the client to communicate needs, thoughts, or emotions visually, which can significantly enhance understanding and interaction between the nurse and the client.

This method enables the client to point to images or symbols that represent words or phrases, facilitating communication without the stress of trying to formulate spoken language. It provides a clear and supportive means for clients to express themselves, which is crucial for their emotional well-being and recovery process.

The other options, while they might seem helpful at first glance, do not accommodate the specific needs of someone with expressive aphasia as effectively. Speaking loudly and slowly may not aid in comprehension or expression and could lead to frustration. Asking only yes or no questions restricts the ability to express more complex thoughts. Similarly, using complex sentences can overwhelm the client, making communication even more challenging. Thus, a picture board stands out as the most beneficial for fostering communication in this context.