Title: Explain why communication challenges with cognitively impaired clients must be overcome.
Course: Nurse Aide I Condensed (14051-I-A) > Section: Communicating in the Healthcare Environment

Explanation should include methods to overcome communication challenges with clients/residents/patients who have cognitive impairments and to preserve the rights of clients/residents/patients who may be

- anxious or frustrated and unable to communicate needs
- in need of pain relief
- uncooperative with care if the client does not know what the caregiver is doing.

Communication skills must be tailored to meet the needs of a cognitively impaired client by

- being sure to have the attention of a client
- explaining the care routine prior to starting the care routine
- allowing the client opportunities to talk
- keeping consistent routines as much as possible
- being honest and reliable
- knowing the likes and dislikes of client
- speaking slowly, softly, and simply.

Refer to Unit II in Nurse Aide Curriculum, Virginia Board of Nursing, Virginia Department of Health Professions, 2023.

Process/Skill Questions:

- Why is it important for the CNA to remain calm when dealing with an agitated client?
- Why is it important to explain care to be given to a client with a cognitive impairment?
- What is the importance of always recognizing client rights?
- What safety concerns must be addressed when caring for a client who may be combative?