Registered Practical Nurse (RPN) Practice Test

What condition should the nurse document if a hospitalized client with dementia has difficulty speaking?

1. Apraxia

2. Agnosia

3. Aphasia

4. Memory loss

The correct answer is: Aphasia

The correct answer is based on the definition and characteristics of speech-related conditions associated with neurological and cognitive disorders. Aphasia refers to a condition that affects a person's ability to communicate, which includes speaking and understanding language. In the context of a client with dementia who has difficulty speaking, this condition is particularly relevant. Aphasia can manifest as difficulty in forming words, understanding language, or both, and is often observed in patients who have suffered from strokes or other conditions affecting the language centers of the brain. The other choices outline different cognitive and functional impairments: Apraxia is related to the inability to perform movements or gestures despite having the desire and the physical capability to do so; Agnosia is a failure to recognize familiar objects, people, or sounds despite intact sensory capabilities; and memory loss relates to difficulties in recalling information or past events. While these conditions can occur in a patient with dementia, they do not specifically address the communication difficulties that are characteristic of aphasia. Thus, when documenting speech difficulties in a client with dementia, acknowledging aphasia provides a clearer understanding of the type of impairment present.