Aphasic patient have a problem with?

Appeared in: NORCET 3 - 2022 (Shift-1)

Explanation

Aphasia is a communication disorder resulting from damage to the language centers of the brain, most commonly the left hemisphere.
It directly impairs a person's ability to process language, which includes speaking, understanding, reading, and writing.
"Trouble speaking" is a hallmark symptom of aphasia, particularly expressive aphasia (Broca's aphasia), where an individual knows what they want to say but has difficulty producing the words or forming coherent sentences.

Option B: This describes a hearing impairment or deafness. Aphasia is a brain-based language processing issue, not a problem with the sensory organ of hearing.
Option C: This describes anosmia, a disorder of the sense of smell. It is related to the olfactory system, not the language centers of the brain.
Option D: This describes a motor deficit such as paralysis (hemiplegia) or apraxia (inability to perform learned movements). While these conditions often co-occur with aphasia after a stroke, aphasia itself is strictly a language disorder.

Clinical Relevance

Nursing practice connection: Use the key finding related to Definition and characteristics of aphasia to guide bedside assessment, documentation, and the next nursing action.
Nurses must use specific communication strategies for patients with aphasia, such as using simple, short sentences, asking yes/no questions, and allowing ample time for the patient to respond.
Patient safety is a major concern, as the inability to communicate effectively can prevent a patient from reporting pain, asking for help, or understanding instructions.
A multidisciplinary approach involving a Speech-Language Pathologist (SLP) is crucial for assessment and developing a tailored communication plan.

How to Approach the Question

First, identify the key term in the question: "Aphasic patient".
Recall the definition of aphasia. It is a disorder of language and communication.
Evaluate each option to see which one describes a language-related problem.
Option A, "Trouble speaking," is a direct impairment of language production.
Options B, C, and D describe sensory (hearing, smell) and motor (voluntary control) problems, which are distinct from aphasia.
Conclude that the most accurate description of a problem for an aphasic patient is trouble speaking.

Concept Tested & Keywords

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E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 147-149

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 2 p. 61-63

Practise the full NORCET 3 - 2022 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.