When a client has limited verbal ability, what is the best practice for communication?

• A. Speak louder without adjusting language
• B. Involve family or supervisor and document preferences
• C. Ignore nonverbal cues
• D. Make decisions without client input

Answer: (B)

When many people cannot express themselves clearly with words, the best approach is to work with those who know the client well and to record how the client prefers to communicate. Involving family members or the supervisor brings insight into the client’s usual communication methods, any assistive devices or supports that work, and subtle signs of comfort, pain, or needs that may not be spoken aloud. Writing down these preferences gives all caregivers a clear, consistent plan to follow, helps ensure the client can participate in decisions about their care as much as possible, and protects the client’s autonomy by honoring their known wishes.

Speaking louder without adjusting the communication method may not help and can be frustrating or disrespectful. Ignoring nonverbal cues means missing important signals the client is sending. Making decisions without the client’s input disregards the client’s rights and can lead to unsafe or unsuitable care.